# GRACEFUL PATH YOUTH HOME INC

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

## Provider details

- **NPI number:** 1891676649
- **Authorized official:** LESLIE TAYLOR (PROGRAM DIRECTOR)
- **Authorized official phone:** (414) 377-1008

## Contact information

- **Practice address:** 2003 S YORK RD, GASTONIA, NC 28052-6301
- **Practice address phone:** (704) 399-7785
- **Mailing address:** 1532 RUNNING BROOK RD, CHARLOTTE, NC 28214-8666
- **Mailing address phone:** (414) 377-1008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2025
- **Last updated:** 09/09/2025