| NPI | 1689677833 |
|---|---|
| Doing Business As | GRANT MENTAL HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | LEROY ALLISON Executive Director 509-765-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2014-12-30 |