Christina Grant

NPI #1992308514 in Defiance, Ohio

Provider Information

NPI Number: 1992308514
Entity Type: Individual
Name: Christina Grant
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 8401 N STATE ROUTE 66
City: Defiance
State: Ohio
ZIP Code: 43512-8252
Phone: (419) 966-9929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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