Organization
GRANT SERVICES FOR THE DISABLED , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON LEWIS MENTON (DIRECTOR/CEO)
(770) 879-5507
Entity
Organization
Contact information
Practice address
1603 HIDDEN HILLS PKWY, STONE MOUNTAIN, GA 30088-3815
(770) 879-5507
(678) 691-4082
Mailing address
1603 HIDDEN HILLS PKWY, STONE MOUNTAIN, GA 30088-3815
(770) 879-5507
(678) 691-4082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
044-01-396-1
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
#032168215B
—
GA
Enumeration date
05/01/2011
Last updated
05/01/2011
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