Organization
GRACE YOUTH MENTORING AND COMMUNITY OUTREACH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE NEWSOME (PRESIDENT)
(757) 344-3450
Entity
Organization
Contact information
Practice address
558 DENBIGH BLVD STE A, NEWPORT NEWS, VA 23608-4240
(757) 218-1918
(757) 210-4021
Mailing address
558 DENBIGH BLVD STE A, NEWPORT NEWS, VA 23608-4240
(757) 218-1918
(757) 210-4021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/27/2021
Last updated
10/10/2023
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