Organization
CONQUER ADDICTION PLLC
Active
Other names
CONQUER
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB GRILLO MBA, PA-C (CEO)
(425) 387-1863
Entity
Organization
Contact information
Practice address
809 W MAIN ST STE C, MONROE, WA 98272-2172
(206) 552-0882
(844) 440-2147
Mailing address
809 W MAIN ST STE C, MONROE, WA 98272-2172
(206) 552-0882
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
344600000X
Taxi
—
—
Other
Enumeration date
09/17/2021
Last updated
10/11/2024
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