TERRILL GRANT

LANCASTER, CA
NPI1841628724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-10-31
Last Update Date2013-10-31
Business Address
-- TERRILL GRANT
1055 W COLUMBIA WAY
LANCASTER, CA 93534-8155
Phone number: 661-951-8200
Mailing Address
-- TERRILL GRANT
43419 PALM LN
LANCASTER, CA 93535-2937
Phone number: