| Grantgrayton | |
|
2412 Minnesota Ave Se Washington DC 20020-5300 | |
| (202) 582-1600 | |
| (202) 582-1638 |
| Full Name | Grantgrayton |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2412 Minnesota Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | James Garyton (CEO) |
| Authorized Official Contact | 2025821600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grantgrayton 2412 Minnesota Ave Se Washington DC 20020-5300 Ph: () - | Grantgrayton 2412 Minnesota Ave Se Washington DC 20020-5300 Ph: (202) 582-1600 |
| NPI Number | 1477684637 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 01/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477684637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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