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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRACE HARBOR BEHAVIORAL HEALTH LLC
NPI 1336048446
Substance Abuse Rehabilitation Facility in Wilmington, NC

Active since November 04, 2026
2106 S 17TH ST, WILMINGTON, NC 28401(704) 838-9222(704) 408-0887 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Grace Harbor Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE HARBOR BEHAVIORAL HEALTH LLC (NPI 1336048446) is a healthcare organization registered as a substance abuse rehabilitation facility in Wilmington, North Carolina and active in the NPI registry since November 2026. The organization lists Brandon James Medina, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1336048446
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGRACE HARBOR BEHAVIORAL HEALTH LLC
Location Address2106 S 17TH STWilmington, NC 28401-7408
Mailing Address4009 Masonboro Loop RdWilmington, NC 28409-3640 · (704) 838-9222 · Fax (910) 408-0887
Phone(704) 838-9222
Fax(704) 408-0887
Organization SubpartNo
Authorized OfficialBrandon James MedinaOwner/manager · (704) 838-9222
Enumeration DateNovember 4, 2026
NPPES CertifiedNovember 4, 2026
✔ NPI 1336048446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2106 S 17TH ST, Wilmington, NC 28401
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EHG OF NC LLC
Substance Abuse Rehabilitation Facility
2106 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (704) 838-9222
CARE FOCUS, INC.
Case Manager/Care Coordinator
2106 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 251-3550
MAXIM HABILITATION SERVICES, LLC
Day Training, Developmentally Disabled Services
2106 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 251-8990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Harbor Behavioral Health LLC's NPI number?

The NPI number for Grace Harbor Behavioral Health LLC is 1336048446. It was assigned to this organization in the NPPES registry on November 4, 2026.

Where is Grace Harbor Behavioral Health LLC located?

Grace Harbor Behavioral Health LLC is located at 2106 S 17th St, Wilmington, NC 28401. The listed phone number is (704) 838-9222.

What is Grace Harbor Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Grace Harbor Behavioral Health LLC was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.