| NPI | 1912763780 |
|---|---|
| Other Name | GRANT WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | TITILAYO GRANT CEO 602-492-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-09-05 |