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Organization

GRACEPOINT YOUTH HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DESTINY DELILAH CLARK (EXECUTIVE DIRECTOR)
(502) 956-4021
Entity
Organization

Contact information

Practice address
2425 S SHELBY ST STE A, LOUISVILLE, KY 40217-2125
(502) 275-3493
Mailing address
2425 S SHELBY ST STE A, LOUISVILLE, KY 40217-2125
(502) 275-3493

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
02/05/2026
Last updated
02/05/2026
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