ABUNDANTLY GRACED COMMUNITY SUPPORTIVE SERVICES INC

CHARLOTTE, NC
NPI1053275206
Entity TypeOrganization
Authorized ContactLASTARRA SHAWNTA MCDONALD
CEO
704-819-1965
Organization Subpart ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
251B00000X Case Management
253Z00000X In Home Supportive Care
372600000X Adult Companion
101YA0400X Counselor, Addiction (Substance Use Disorder)
251S00000X Community/Behavioral Health
251E00000X Home Health
174200000X Meals
101YM0800X Counselor, Mental Health
Enumeration Date2025-12-11
Last Update Date2026-03-11
Business Address
ABUNDANTLY GRACED COMMUNITY SUPPORTIVE SERVICES INC
5736 N TRYON ST STE 125A
CHARLOTTE, NC 28213-6886
Phone number: 704-713-5652
Mailing Address
ABUNDANTLY GRACED COMMUNITY SUPPORTIVE SERVICES INC
5736 N TRYON ST STE 125A
CHARLOTTE, NC 28213-6886
Phone number: 704-713-5652