Organization Active NPI

Grace Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1194978791
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRACE BEHAVIORAL HEALTH SERVICES, LLC
Practice address
1921 N Pointe Dr Ste A102
Durham, NC 27705-2672
Phone
(919) 884-6191
NPI assigned
Oct 28, 2008
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eddyson Okhihan
Title
Chief Executive Officer
Phone
(919) 884-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1921 N Pointe Dr Ste A102
Durham, NC 27705-2672

Mailing address

1921 N Pointe Dr Ste A102
Durham, NC 27705-2672
Phone (919) 884-6191

National Provider Directory

National Provider Directory

Locations

1921 N Pointe Dr
Ste A102
Durham, NC 27705
Phone (919) 884-6191

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1194978791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N POINTE DR STE A102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052672",
            "telephone_number": "919-884-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N POINTE DR STE A102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052672",
            "telephone_number": "919-884-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "OKHIHAN",
        "authorized_official_first_name": "EDDYSON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-884-6191"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.