| NPI | 1114502135 |
|---|---|
| Doing Business As | GRAND THERAPEUTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | STANLEY TROYD LEGRAND Operator 678-900-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |