| 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 |