Organization
GRACE COMMUNITY DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH FRANK BLOUNT III (CEO)
(609) 678-8266
Entity
Organization
Contact information
Practice address
100 MELVILLE LN, WILLINGBORO, NJ 08046-2912
(609) 678-8266
Mailing address
100 MELVILLE LN, WILLINGBORO, NJ 08046-2912
(609) 678-8266
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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