| Grin Grant Inc | |
|
2905 Candlelight Way Lexington KY 40502-2825 | |
| (859) 629-1214 | |
| Not Available |
| Full Name | Grin Grant Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2905 Candlelight Way, Lexington, Kentucky |
| Authorized Official Name and Position | Mary Helen Shashy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8596291215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grin Grant Inc 2905 Candlelight Way Lexington KY 40502-2825 Ph: (859) 629-1214 | Grin Grant Inc 2905 Candlelight Way Lexington KY 40502-2825 Ph: (859) 629-1214 |
| NPI Number | 1124896972 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124896972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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