# GRAND THERAPEUTIC SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grand Therapeutic Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114502135
- **Authorized official:** MR. STANLEY TROYD LEGRAND OTR/L; CAPS (OPERATOR)
- **Authorized official phone:** (678) 900-4118

## Contact information

- **Practice address:** 36 S CHARLES ST STE 203, BALTIMORE, MD 21201-3121
- **Practice address phone:** (410) 878-1014
- **Practice address fax:** (404) 393-5069
- **Mailing address:** 36 S CHARLES ST STE 203, BALTIMORE, MD 21201-3121
- **Mailing address phone:** (410) 878-1014
- **Mailing address fax:** (404) 393-5069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 03/11/2021