Organization
GROSSMAN & GROSSMAN, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON BIRDELL GROSSMAN MSW MED (PRESIDENT/EXECUTIVE DIRECTOR)
(602) 410-6637
Entity
Organization
Contact information
Practice address
1300 N 12TH ST STE 550, PHOENIX, AZ 85006-2820
(602) 468-2077
(480) 609-9552
Mailing address
PO BOX 14948, SCOTTSDALE, AZ 85267
(602) 410-6635
(480) 609-9552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
BH4275
AZ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825703
—
AZ
Enumeration date
06/19/2013
Last updated
08/11/2022
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