Grace Community Development Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GRACE COMMUNITY DEVELOPMENT CENTER

Practice address

100 Melville LN
Willingboro, NJ 08046-2912

Phone

(609) 678-8266

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Frank Blount III

Title

Ceo

Phone

(609) 678-8266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1558905380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MELVILLE LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462912",
            "telephone_number": "609-678-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MELVILLE LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462912",
            "telephone_number": "609-678-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMMUNITY DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-678-8266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latressa Glasco
• Go Reliable
• Jack Goldstein, M.D.
• Goliath Health Care
• Joseph Grabowski
• Millicent Grant, RN
• Laniquea Gray
• Natalie Gray, LPN
• Natalie Constance Greene
• Thomas Grookett, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.