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Organization

GRACE 4 THE YOUTH LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE DANIELS (DIRECTOR)
(252) 373-2631
Entity
Organization

Contact information

Practice address
3001 NASH ST NW, WILSON, NC 27896-1234
(252) 991-7571
Mailing address
3001 NASH ST NW, WILSON, NC 27896-1234
(252) 373-2631

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
02/22/2023
Last updated
01/16/2025
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