# GRANT HOUSE BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588175913
- **Authorized official:** TOWANDA GRANT-CUNNINGHAM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (717) 701-7732

## Contact information

- **Practice address:** 4920 BELAIR RD STE 2C&2D, BALTIMORE, MD 21206-5601
- **Practice address phone:** (410) 732-0236
- **Practice address fax:** (443) 449-5338
- **Mailing address:** 4920 BELAIR RD SUITE 2C & 2D, BALTIMORE, MD 21206-3724
- **Mailing address phone:** (410) 732-0236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2017
- **Last updated:** 01/08/2019