Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE GYAN
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · MARICOPA, AZ
Registration Details
- NPI Number
- 1255084190
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2022 (4.2183053399886 yrs)
- Last Updated
- Feb 1, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
36019 W SAN CLEMENTE AVEMARICOPA, AZ, 851382118Browse AZ providers · Browse ZIP 85138
- Phone
- 6028165618
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
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.