Allen Grim in Stockton - Addiction (substance Use Disorder)
Allen Grim - NPI 1295916963
Allen Grim is a Addiction (substance Use Disorder) in Stockton, California. Allen Grim practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Allen Grim is 1295916963. The last update date is 2008-07-31.
Allen Grim's current location address is 1934 Country Club Blvd Apt 2, Stockton, California. You can contact this provider via phone number 2095187905 and fax number 2099380281. The mailing address for Allen Grim is 1934 Country Club Blvd Apt 2, Stockton, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Allen Grim |
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Address | 1934 Country Club Blvd Apt 2, Stockton, California |
Phone Number | 2095187905 |
Fax Number | 2099380281 |
Sole Proprietor | Y |
Credentials | BA |
NPI Number Detail
NPI Number | 1295916963 |
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Provider Enumeration Date | 2007-11-21 |
Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
Address | 1934 Country Club Blvd Apt 2 |
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City | Stockton |
State | California (CA) |
Post Code | 952044853 |
Phone Number | 2095187905 |
Fax Number | 2099380281 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | CACS360707 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Allen Grim by the Centers for Medicare & Medicaid Services?
The Allen Grim has been issued the NPI (National Provider Identifier) 1295916963, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Allen Grim is located?
The Allen Grim is situated at the following address: 1934 Country Club Blvd Apt 2, Stockton, CA, 952044853.
What is the Allen Grim's area of specialization and corresponding taxonomy classification?
The Allen Grim's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date was the 1295916963 assigned to Allen Grim?
The Allen Grim was issued its 1295916963 on 2007-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Allen Grim most recently updated or revised?
The information pertaining to Allen Grim, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-31.
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