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Organization
SAVING GRACE OUTREACH LLC
Active
Organization
SAVING GRACE OUTREACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY COVINGTON (VICE PRESIDENT)
(910) 964-8051
Entity
Organization
Contact information
Practice address
318 HARRIS AVE, RAEFORD, NC 28376-3110
(910) 964-8051
(910) 401-1053
Mailing address
318 HARRIS AVE, RAEFORD, NC 28376-3110
(910) 964-8051
(910) 401-1053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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