Juan Grullon
NPI #1104320357 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1104320357
- Entity Type
- Individual
- Name
- Juan Grullon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 22, 2018
- Last Updated
- Mar 22, 2018
Practice Location
- Address
- 302 EUSTIS ST
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02119-3800
- Phone
- (617) 445-1123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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