Organization
GRACE DEVELOPMENT CLAN INC.
Active
Other names
The Dean House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA G BARNES (ADMINISTRATOR)
(336) 480-8369
Entity
Organization
Contact information
Practice address
3502 CHERRY ST, WINSTON SALEM, NC 27105-3416
(336) 480-8369
(336) 721-1176
Mailing address
3502 CHERRY ST, WINSTON SALEM, NC 27105-3416
(336) 480-8369
(336) 721-1176
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL034210
NC
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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