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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF GRACE

Active Organization

STATE OF GRACE is a Community/Behavioral Health organization located in PUEBLO, Colorado. NPI 1164775250 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · PUEBLO, CO

Registration Details

NPI Number
1164775250
Provider Type
Organization
NPI Issued
Oct 26, 2012 (13.818273594356 yrs)
Last Updated
Apr 15, 2021
License
1727-01 (CO)

Practice Information

Address
720 N MAIN ST STE 330
PUEBLO, CO, 810033047
Browse CO providers · Browse ZIP 81003
Phone
7195697909
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Organizations in PUEBLO, CO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.