| Doctor Name: | GREGORY GRAUSTEIN |
| NPI Number: | 1518181114 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCDP |
| License Number: | LCDP00004 |
| Business Practice Address: | 198 Central St # 200 Central Falls, RI - 028632847 |
| Business Phone Number: | 4013656811 |
| Business Fax Number: | 4013656813 |
| Mailing Address: | 198 Central St # 200, CENTRAL FALLS |
| State: | RI |
| Postal Code: | 028632847 |
| Phone Number: | 4013656811 |
| Fax Number: | 4013656813 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCDP00004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |