| Grant-moore Center For Behavioral Health, Inc. | |
|
400 E Main St Kilgore TX 75662-5906 | |
| (903) 984-2787 | |
| (903) 984-0517 |
| Full Name | Grant-moore Center For Behavioral Health, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 400 E Main St, Kilgore, Texas |
| Authorized Official Name and Position | William Guy Grant (OWNER) |
| Authorized Official Contact | 9039842787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant-moore Center For Behavioral Health, Inc. 400 E Main St Kilgore TX 75662-5906 Ph: (903) 984-2787 | Grant-moore Center For Behavioral Health, Inc. 400 E Main St Kilgore TX 75662-5906 Ph: (903) 984-2787 |
| NPI Number | 1134206519 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134206519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 8681 (Texas) | Primary |
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