Kimberly Grace in Modesto - Addiction (substance Use Disorder)
Kimberly Grace - NPI 1760686307
Kimberly Grace is a Addiction (substance Use Disorder) in Modesto, California. Kimberly Grace practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kimberly Grace is 1760686307. The last update date is 2007-07-08.
Kimberly Grace's current location address is 948 11th St, Modesto, California. You can contact this provider via phone number 2095791151 and fax number 2095799605. The mailing address for Kimberly Grace is 948 11th St, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Grace |
|---|---|
| Address | 948 11th St, Modesto, California |
| Phone Number | 2095791151 |
| Fax Number | 2095799605 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1760686307 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 948 11th St |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953542308 |
| Phone Number | 2095791151 |
| Fax Number | 2095799605 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101YA040OX | CA | ADDICTION COUNSELOR |
Post Comment/ Review Below
What is the unique identifier code issued to Kimberly Grace by the Centers for Medicare & Medicaid Services?
The Kimberly Grace has been assigned the NPI (National Provider Identifier) 1760686307. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kimberly Grace's physical address?
The Kimberly Grace is physically located at 948 11Th St, in the city of Modesto, CA, with the postal code 953542308.
What is the Kimberly Grace's specialty and taxonomy code?
The Kimberly Grace's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did Kimberly Grace receive its 1760686307 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Grace was assigned its 1760686307 on 2007-06-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kimberly Grace most recently updated or revised?
The information pertaining to Kimberly Grace, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.