GUSTAVO MCGREW

APACHE JUNCTION, AZ
NPI1619214962
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-07
Last Update Date2013-01-07
Business Address
-- GUSTAVO MCGREW LISAC
625 N PLAZA DR
APACHE JUNCTION, AZ 85120-5501
Phone number: 480-983-0065
Mailing Address
-- GUSTAVO MCGREW LISAC
PO BOX 3160
APACHE JUNCTION, AZ 85117-4115
Phone number: 480-983-0065