Organization
GO TYME GRYND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANDRE GASTON (OWNER)
(419) 709-0509
Entity
Organization
Contact information
Practice address
3403 MONROE ST, TOLEDO, OH 43606-4140
(419) 509-0509
Mailing address
1836 DORR ST, TOLEDO, OH 43607-3701
(419) 702-0509
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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