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Organization

GRANITE HOUSE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SPENCER LISTER GEAR LCSW-C (EXECUTIVE DIRECTOR)
(410) 876-3007
Entity
Organization

Contact information

Practice address
288 E GREEN ST, PRP, WESTMINSTER, MD 21157-5410
(410) 876-3007
(410) 751-7797
Mailing address
288 E GREEN ST, WESTMINSTER, MD 21157-5410
(410) 876-3007
(410) 751-7797

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
07/27/2006
Last updated
09/11/2025
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