Individual provider · Type 1 NPI

Christina Grant

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Defiance, OH

NPI number 1992308514 Active

Practice location

8401 N State Route 66
Defiance, OH 43512-8252

Mailing address

6909 N State Route 66 Lot 91
Defiance, OH 43512-8637

Specialties and licenses

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Another provider at this address

About NPI 1992308514

Christina Grant's National Provider Identifier is 1992308514, issued on Nov 17, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Defiance, OH. The record was last updated on Nov 17, 2020.