Organization
THE GRANT HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJORIE A. GRANT LCSW (OWNER/DIRECTOR)
(307) 359-9210
Entity
Organization
Contact information
Practice address
214 S 4TH ST, DOUGLAS, WY 82633-2528
(307) 359-9210
Mailing address
214 S 4TH ST, DOUGLAS, WY 82633-2528
(307) 359-9210
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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