| NPI | 1326862749 |
|---|---|
| Doing Business As | PLACE OF GRACE |
| Entity Type | Organization |
| Authorized Contact | GARY RICHARDSON President 910-206-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |