Organization
GRUNDY AREA P. A. D. S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE GRANT LCSW (DIRECTOR)
(815) 942-3245
Entity
Organization
Contact information
Practice address
1409 N DIVISION ST, MORRIS, IL 60450-1445
(815) 942-3245
Mailing address
1409 N DIVISION ST, MORRIS, IL 60450-1445
(815) 942-3245
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
01/31/2025
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