GRAYCE YOUTH LLC NPI 1609772631

NPI Information

  • NPI: 1609772631
  • Provider Name: GRAYCE YOUTH, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • :
  • Address: 1572 UNION RD
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 877-1722

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NPI Details

GRAYCE YOUTH, LLC is a community behavioral health in Gastonia, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GRAYCE YOUTH, LLC NPI is 1609772631. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1572 UNION RD
GASTONIA, NC
ZIP 28054-213
Phone: (704) 877-1722

The provider's authorized official is Latasha Gray .
The authorized official title is Managing Member and has the following contact phone number (704) 877-1722.

The enumeration date for this NPI number is 10/16/2026 and was last updated on 10/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
2251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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