| Organization Name: | GRAMBLING THERAPY INC |
| NPI Number: | 1285770198 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAIL GRAMBLING HARRISON (PRESIDENT) |
| Mailing Address: | 4686 Corrales Rd Corrales |
| State: | NM US |
| Postal Code: | 870488610 |
| Phone Number: | 5052667693 |
| Fax Number: | 5058904223 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |