Organization
AMAZING GRACES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUBERT B DANIELS (OWNER)
(919) 583-5039
Entity
Organization
Contact information
Practice address
111 E 3RD ST, SUITE 9, GREENVILLE, NC 27834-0399
(252) 375-5110
Mailing address
236 LESLIE ROAD, GOLDSBORO, NC 27530-9520
(919) 583-5039
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/26/2011
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