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Organization
GRACE RECOVERY AND WELLNESS CENTER
Active
Organization
GRACE RECOVERY AND WELLNESS CENTER
Active
Parent organization
DAILY GRACE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAILY GRACE LLC
Authorized official
MS. SHARON L TAHA CPRP (EXECUTIVE DIRECTOR)
(804) 399-9042
Entity
Organization
Contact information
Practice address
8217 HULL STREET RD, NORTH CHESTERFIELD, VA 23235-6413
(804) 399-9042
(877) 244-4588
Mailing address
PO BOX 3382, GLEN ALLEN, VA 23058-3382
(804) 399-9042
(877) 244-4588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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