Gray Group L.l.c. | |
637 Spreading Oak Ave Deltona FL 32738 | |
(386) 457-8159 | |
Not Available |
Full Name | Gray Group L.l.c. |
---|---|
Speciality | Day Training, Developmentally Disabled Services |
Location | 637 Spreading Oak Ave, Deltona, Florida |
Authorized Official Name and Position | Lynne M Murray-gray (EXCUTIVE DIRECTOR) |
Authorized Official Contact | 3864578159 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gray Group L.l.c. 637 Spreading Oak Ave Deltona FL 32738-9003 Ph: (386) 457-8159 | Gray Group L.l.c. 637 Spreading Oak Ave Deltona FL 32738 Ph: (386) 457-8159 |
NPI Number | 1184120776 |
---|---|
Provider Enumeration Date | 04/02/2018 |
Last Update Date | 05/18/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184120776 | NPI | - | NPPES |
1977826063 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
251C00000X | Day Training, Developmentally Disabled Services | 1-13-13430 (Florida) | Primary |
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