Individual
PETER GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
600 PUTNAM PIKE, SUITE 7, GREENVILLE, RI 02828-1486
(401) 949-2220
Mailing address
71 BAYBERRY RD, NARRAGANSETT, RI 02882-2208
(917) 450-1704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00587
RI
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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