Organization · Type 2 NPI
Grace Development Clan Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Winston Salem, NC
Practice location
3502 Cherry St
Winston Salem, NC 27105-3416
Fax (336) 721-1176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL034210 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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About NPI 1780724484
Grace Development Clan Inc.'s National Provider Identifier is 1780724484, issued on Feb 8, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 22, 2020.