Individual
MR. GREGORY ISAIAH GRANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1403 W LEIGH ST, RICHMOND, VA 23220-2239
(804) 683-0161
Mailing address
505 TARPLEY RD, RICHMOND, VA 23225-6037
(804) 683-0161
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
VA
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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