Organization
COUNTY OF GRANT
Active
Other names
Grant Mental Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY ALLISON (EXECUTIVE DIRECTOR)
(509) 765-9239
Entity
Organization
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
(509) 765-4124
Mailing address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
(509) 765-4124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2005
Last updated
12/30/2014
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