GREGORY CHARLES GRIMES

FAIR OAKS, CA
NPI1659652212
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-09-08
Last Update Date2011-09-08
Business Address
Mr. GREGORY CHARLES GRIMES master
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628-5139
Phone number: 916-962-2800
Mailing Address
Mr. GREGORY CHARLES GRIMES master
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628-5139
Phone number: 916-962-2800
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