Organization
GRACEFUL HAVEN
Active
Organization
GRACEFUL HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHELLE MONIQUE HEATH HEATH (OWNER)
(704) 839-3260
Entity
Organization
Contact information
Practice address
5101 HAMPTON MEADOWS RD, MONROE, NC 28110-9352
(704) 839-3260
Mailing address
5101 HAMPTON MEADOWS RD, MONROE, NC 28110-9352
(704) 839-3260
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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