THRONE OF GRACE, LLC.
Clinic/Center - Rehabilitation, Substance Use Disorder
Active
Organization
NPI: 1104173467
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder | 261QR0405X | Yes | - |
Frequently Asked Questions
NPI 1104173467 is the National Provider Identifier for THRONE OF GRACE, LLC., a Clinic/Center - Rehabilitation, Substance Use Disorder provider located in Idaho Falls, ID. This NPI was enumerated on August 6, 2012.
Quick Facts
- NPI
- 1104173467
- Type
- Organization
- Enumerated
- Aug 6, 2012
- Last Updated
- Dec 26, 2012
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ERIC WINGERSON, D.O.
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DR. JAMES RICHARDS, M.D.
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DR. STEPHEN CARTER, M.D.
Surgery
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PETER CASTELLANOS, MD
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology