GRACE BASONGA

Respite Care · TUCSON, AZ

Individual Active NPI 1639059256

Taxonomy & licensure

Specialty	Code	Primary	License	State
Respite Care	385H00000X	✓	ADBH20002	AZ
Mental Illness Community Based Residential Treatment Facility	320800000X		ADBH20002	AZ

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.