# GRACE RECOVERY AND WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAILY GRACE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174066955
- **Legal business name:** DAILY GRACE LLC
- **Authorized official:** MS. SHARON L TAHA CPRP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (804) 399-9042

## Contact information

- **Practice address:** 8217 HULL STREET RD, NORTH CHESTERFIELD, VA 23235-6413
- **Practice address phone:** (804) 399-9042
- **Practice address fax:** (877) 244-4588
- **Mailing address:** PO BOX 3382, GLEN ALLEN, VA 23058-3382
- **Mailing address phone:** (804) 399-9042
- **Mailing address fax:** (877) 244-4588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 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
