Grace 4 the Youth Llc.
NPI #1306544978 in Wilson, North Carolina
Provider Information
- NPI Number
- 1306544978
- Entity Type
- Organization
- Organization Name
- Grace 4 the Youth Llc.
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Feb 22, 2023
- Last Updated
- Jan 16, 2025
Practice Location
- Address
- 3001 NASH ST NW
- City
- Wilson
- State
- North Carolina
- ZIP Code
- 27896-1234
- Phone
- (252) 991-7571
Authorized Official
- Name
- LAWRENCE DANIELS
- Title
- DIRECTOR
- Phone
- (252) 373-2631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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