Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEGGY MARY GROGAN
Active Sole ProprietorPEGGY MARY GROGAN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in DELAND, Florida. NPI 1235883075 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · DELAND, FL
Registration Details
- NPI Number
- 1235883075
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2022 (4.5521130502686 yrs)
- Last Updated
- Feb 10, 2022
- License
-
12-12-010 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1721 TIMBER EDGE DRDELAND, FL, 327247985Browse FL providers · Browse ZIP 32724
- Phone
- 3865896313
- Fax
- 3866262675
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.