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Contact Information

AQUARIAN MINISTRY LTD SPIRITUALIST CHURCH OF INTEGRATIVE HEALTH
GRACE CLINIC
620 8TH AVE
TERRE HAUTE, IN47804
 Phone: 812-231-8350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for AQUARIAN MINISTRY LTD SPIRITUALIST CHURCH OF INTEGRATIVE HEALTH

NPI # 1780480822
LBN Legal business name AQUARIAN MINISTRY LTD SPIRITUALIST CHURCH OF INTEGRATIVE HEALTH
Authorized official TERESE POLING - (DOCTOR OF MEDICINE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2025
Last updated 02/20/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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