| Granite House, Inc | |
|
288 E Green St Prp Westminster MD 21157-5410 | |
| (410) 876-3007 | |
| (410) 751-7797 |
| Full Name | Granite House, Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation |
| Location | 288 E Green St, Westminster, Maryland |
| Authorized Official Name and Position | Spencer Lister Gear (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4108763007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite House, Inc 288 E Green St Westminster MD 21157-5410 Ph: (410) 876-3007 | Granite House, Inc 288 E Green St Prp Westminster MD 21157-5410 Ph: (410) 876-3007 |
| NPI Number | 1265446496 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265446496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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