Organization
GRACEFUL PATH YOUTH HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE TAYLOR (PROGRAM DIRECTOR)
(414) 377-1008
Entity
Organization
Contact information
Practice address
2003 S YORK RD, GASTONIA, NC 28052-6301
(704) 399-7785
Mailing address
1532 RUNNING BROOK RD, CHARLOTTE, NC 28214-8666
(414) 377-1008
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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