Organization
CONQUER ADDICTION PLLC
Active
Parent organization
CONQUER ADDICTION PLLC
Other names
Conquer Clinics, CONQUER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONQUER ADDICTION PLLC
Authorized official
JACOB ADAM GRILLO PA-C (OWNER)
(206) 552-0882
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
(844) 440-2147
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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