NPI | 1356048656 |
---|---|
Doing Business As | GRAND MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | LARRY SMITH CEO 918-273-1841 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-02-08 |