| NPI | 1134130909 |
|---|---|
| Doing Business As | GRACE HAVEN HOUSE |
| Entity Type | Organization |
| Authorized Contact | KARLYN CLEVERT SMITH CAO/Program Director 804-779-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA SS-269-06) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-09-19 |