NPI | 1841444700 |
---|---|
Former Legal Business Name | 12 & 12, INC |
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 | 251B00000X Case Management |
Enumeration Date | 2008-11-05 |
Last Update Date | 2022-06-07 |