Individual provider · Type 1 NPI
Christina Grant
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Defiance, OH
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
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
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.