TERRY GRAYTON

STATEN ISLAND, NY
NPI1346784691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  26767)
Enumeration Date2016-12-06
Last Update Date2016-12-06
Business Address
TERRY GRAYTON CASAC 26767
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
Mailing Address
TERRY GRAYTON CASAC 26767
460 BRIELLE AVE
STATEN ISLAND, NY 10314-6427
Phone number: 718-816-6589
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