| Doctor Name: | MR. GREGORY B. GRULEY |
| NPI Number: | 1093780173 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., LPC |
| License Number: | 6401008944 |
| Business Practice Address: | 21751 Ecorse Rd Taylor, MI - 481801846 |
| Business Phone Number: | 3132917000 |
| Business Fax Number: | 3132910942 |
| Mailing Address: | 21751 Ecorse Rd, TAYLOR |
| State: | MI |
| Postal Code: | 481801846 |
| Phone Number: | 3132917000 |
| Fax Number: | 3132910942 |
| NPI Enumeration Date: | 02/22/2006 |
| NPI Last Update Date: | 08/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401008944 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |