Organization
GRACE CHILDS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GROVER BARRYTON MELTON (CEO/OWNER)
(704) 737-3205
Entity
Organization
Contact information
Practice address
301 MCCULLOUGH DR FL 4, CHARLOTTE, NC 28262-3310
(704) 737-3205
Mailing address
301 MCCULLOUGH DR FL 4, CHARLOTTE, NC 28262-3310
(704) 737-3205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
10/10/2009
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