STATE OF GRACE
NPI 1164775250
Community/Behavioral Health in Pueblo, CO
About State Of Grace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE OF GRACE (NPI 1164775250) is a healthcare organization registered as a community/behavioral health in Pueblo, Colorado and active in the NPI registry since October 2012. The organization maintains a secondary practice location in Pueblo and lists Robert Richard Maes, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Practice Location 1
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PUEBLO, CO 81003
PUEBLO, CO 81003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164775250, enumerated as an "organization" on October 26, 2012.
The provider is located at 720 N MAIN ST STE 330 PUEBLO, CO 81003 and the phone number is (719) 569-7909.
Community/Behavioral Health with taxonomy code 251S00000X.
