NPI | 1548472434 |
---|---|
Doing Business As | GRACE HOUSE |
Entity Type | Organization |
Authorized Contact | FRED SURGEON Director 910-733-0617 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2007-05-04 |
Last Update Date | 2007-08-15 |