ADAM GRISHAM

WASILLA, AK
NPI1184383440
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-12-14
Last Update Date2021-12-14
Business Address
ADAM GRISHAM
7010 E BOGARD RD BLDG 1
WASILLA, AK 99654-4711
Phone number: 907-373-4732
Mailing Address
ADAM GRISHAM
PO BOX 876741
WASILLA, AK 99687-6741
Phone number: 907-373-4732