| The Grant House | |
|
214 S 4th St Douglas WY 82633-2528 | |
| (307) 359-9210 | |
| Not Available |
| Full Name | The Grant House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 214 S 4th St, Douglas, Wyoming |
| Authorized Official Name and Position | Marjorie A. Grant (OWNER/DIRECTOR) |
| Authorized Official Contact | 3073599210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Grant House 214 S 4th St Douglas WY 82633-2528 Ph: (307) 359-9210 | The Grant House 214 S 4th St Douglas WY 82633-2528 Ph: (307) 359-9210 |
| NPI Number | 1841681285 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 02/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841681285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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