Organization
GRANT HOUSE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOWANDA GRANT-CUNNINGHAM (EXECUTIVE DIRECTOR)
(717) 701-7732
Entity
Organization
Contact information
Practice address
4920 BELAIR RD STE 2C&2D, BALTIMORE, MD 21206-5601
(410) 732-0236
(443) 449-5338
Mailing address
4920 BELAIR RD SUITE 2C & 2D, BALTIMORE, MD 21206-3724
(410) 732-0236
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500265600
—
MD
Enumeration date
10/12/2017
Last updated
01/08/2019
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