| NPI | 1184319782 |
|---|---|
| Doing Business As | JEFFREY ARTHUR GRANT |
| Doing Business As | PORTAGE BAY PSYCHOTHERAPY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GRANT Owner/Practitioner 206-890-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-08-22 |