GRACE GARDENS, LLC
Ambulatory Health at Franklin St, Cuba, MO

License number
Missouri 2005031753
Category
Ambulatory Health
Type
Adult Mental Health
License number
Missouri 2005031753
Category
Ambulatory Health
Type
Adolescent and Children Mental Health
Owner
Name: ANITA F MCCORMACK MSW, LCSW
Title: ORGANIZER
Phone: (314) 650-3281
Address
Address 2
412 N Franklin St STE 205, Cuba, MO 65453
130 Redwood Ln, Bourbon, MO 65441
National Provider ID: 1689972879
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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