# SAVIN GRACE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336381797
- **Authorized official:** JACQUELINE MITCHELL (OWNER)
- **Authorized official phone:** (919) 791-8104

## Contact information

- **Practice address:** 10910 NC 222 HWY W, MIDDLESEX, NC 27557-8377
- **Practice address phone:** (919) 901-4142
- **Mailing address:** 10910 NC 222 HWY W, MIDDLESEX, NC 27557-8377
- **Mailing address phone:** (919) 901-4142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-051-173 | NC | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 04/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6604326 | — | NC |
