Organization
TRIED BY GRACE MINISTRIES
Active
Other names
Tried by Grace Sectional Housing, Tried by Grace Farwell Services, Tried by Grace Transportation, Tried by Grace Safe Homes, Tried by Grace Life and Career Coaching
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIA WALU SHEMBO MHA (VICE PRESIDENT)
(774) 316-9331
Entity
Organization
Contact information
Practice address
10502 ATKINS RIDGE DR, CHARLOTTE, NC 28213-4296
(940) 494-2516
Mailing address
9805 STATESVILLE RD STE 6430, CHARLOTTE, NC 28269-7647
(774) 316-9331
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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