Organization
GRANT GARDENS
Active
Parent organization
GRANT GARDENS
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANT GARDENS
Authorized official
MICHAEL MCCULLA (CEO)
(615) 973-5503
Entity
Organization
Contact information
Practice address
2582 GRANT GARDENS RD, ONA, WV 25545
(304) 743-4439
Mailing address
315 DEADERICK ST 1700 PMB 28, NASHVILLE, TN 37238-3000
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
III
LOC
WV
Enumeration date
01/08/2026
Last updated
01/08/2026
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