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Grace Diaz, LCDC

NPI 1740866318 · on the registry since 2021 · sole proprietor

Practice

Address
5004 Alameda Ave
El Paso, TX 79905
Phone
(915) 772-2045
Fax
(915) 772-7275
Organisation at this address
El Paso Methadone Maintenance & Detox Treatment Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas