Organization
GRACE YOUTH MENTORING AND COMMUNITY OUTREACH INC.
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up