Organization
GRACE RECOVERY AND WELLNESS CENTER
Active
Parent organization
DAILY GRACE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAILY GRACE LLC
Authorized official
MS. SHARON L TAHA CPRP (EXECUTIVE DIRECTOR)
(804) 399-9042
Entity
Organization
Contact information
Practice address
8217 HULL STREET RD, NORTH CHESTERFIELD, VA 23235-6413
(804) 399-9042
(877) 244-4588
Mailing address
PO BOX 3382, GLEN ALLEN, VA 23058-3382
(804) 399-9042
(877) 244-4588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982901245
NPI
VA
Enumeration date
11/28/2016
Last updated
11/28/2016
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