NPI 1073553715

Grand River Psychiatry PLLC

Organisation Specialist Grand Junction, CO

Practice location

Address: 743 Horizon CT STE 106, Grand Junction, CO 81506-8701
Phone: (970) 254-8600
Fax: (970) 254-8603
Mailing address: 743 Horizon CT Suite 106, Grand Junction, CO 81506-8701

Authorised official

Name: Kim Mohr
Title: Manager
Phone: (970) 254-8600

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 32628 (CO)

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Registry record

NPI: 1073553715
Entity type: Organization
NPI issued: 8 Jun 2006
Record last updated: 7 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.