Nicholas Grisham

NPI 1437589652 · on the registry since 2013 · sole proprietor

Practice

Address: 862 S Main St
Suite 4
Brigham City, UT 84302
Phone: (435) 723-6245
Organisation at this address: Youth Track
Youthtrack, Inc.
Rite Of Passage, Inc
Life-Skills And Individual Needs Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 209

Registry record

Primary taxonomy: Foster Care Agency
253J00000X
Sex: Male
Record last updated: 2013-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah