AMAZING GRACE CENTER INC NPI 1205188588

NPI Information

NPI: 1205188588
Provider Name: AMAZING GRACE CENTER INC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 36D2163881

Address:
802 CLARE AVE
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 876-8449
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AMAZING GRACE CENTER INC is a methadone clinic center in Portsmouth, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. AMAZING GRACE CENTER INC NPI is 1205188588. The provider is registered as an organization entity type.

The provider's business location address is:

802 CLARE AVE
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 876-8449

The provider's authorized official is Rose Onyinyechi Uradu .
The authorized official title is Medical Director and has the following contact phone number (606) 393-4632.

The CLIA number assigned to this NPI record is 36D2163881 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2012 and was last updated on 10/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health		13303	OHIO	No
2	261QM2800X	Clinic/Center	Methadone			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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