Daniel Granthan
Individual provider Active NPI Child Mental Illness Respite Care · Arivaca, AZ
NPI 1992967988 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1992967988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child Mental Illness Respite Care 385HR2055X
- License
- 8637 (AZ)
- Practice address
- 14500 Crooked Skya
Arivaca, AZ 85601-0264 - Phone
- (520) 398-9151
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8637 | AZ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 8637 | AZ | Yes |
Addresses
Primary practice location
14500 Crooked Skya
Arivaca, AZ 85601-0264
Mailing address
PO Box 264
Arivaca, AZ 85601-0264
Phone (520) 398-9151
Other providers in Arivaca, AZ
- Arivaca Fire District
- Arivaca Fire District
- Arivaca Ranch LLC
- Bird Is the Word LLC
- Evan Laughlin
- Southwestern University and Global College
- United Community Health Center-Maria Auxiliadora, Inc.
All providers in Arivaca, AZ · Child Mental Illness Respite Care in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.