Organization
GRANT JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT DEAN JOHNSON M.A. (OWNER/THERAPIST)
(405) 596-2369
Entity
Organization
Contact information
Practice address
215 NE 28TH ST, #2411, OKLAHOMA CITY, OK 73105-2840
(405) 596-2369
Mailing address
215 NE 28TH ST, #2411, OKLAHOMA CITY, OK 73105-2840
(405) 596-2369
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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