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Organization

GRANT GARDENS

Active
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Organization

GRANT GARDENS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MCCULLA (CEO)
(615) 973-5503
Entity
Organization

Contact information

Practice address
2582 GRANT GARDENS RD, ONA, WV 25545
(304) 743-4439
Mailing address
315 DEADERICK ST, 1700 PMB 28, NASHVILLE, TN 37238-3000

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL

Other

Enumeration date
01/07/2026
Last updated
01/07/2026
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