Organization · NPI-2

Grace Youth Mentoring And Community Outreach INC.

Community/Behavioral Health · Newport News, VA

NPI number1114690047

StatusActive

Last updated in NPPESOct 10, 2023

Details

NPI: 1114690047
Entity type: Organization (NPI-2)
Legal business name: Grace Youth Mentoring And Community Outreach INC.
Organization subpart: No
Enumeration date: Jul 27, 2021
Certification date: Oct 10, 2023
Last updated: Oct 10, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–
101Y00000X	Counselor	–	–

Practice location

558 Denbigh Blvd Ste A
Newport News, VA 23608-4240

Phone 757-218-1918 · Fax 757-210-4021

Mailing address

558 Denbigh Blvd Ste A
Newport News, VA 23608-4240

Phone 757-218-1918 · Fax 757-210-4021

Authorized official

Charlene Newsome
President
7573443450

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