Organization
GRACE FAMILY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE SMITH (CEO)
(910) 385-6424
Entity
Organization
Contact information
Practice address
2406 MADISON DR, NORTH MYRTLE BEACH, SC 29582-4334
(843) 663-0748
(843) 663-0749
Mailing address
2406 MADISON DR, NORTH MYRTLE BEACH, SC 29582-4334
(843) 663-0748
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/08/2022
Last updated
07/22/2024
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