Provider Demographics
NPI:1275086258
Name:THE GREY BUDHA
Entity Type:Organization
Organization Name:THE GREY BUDHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-975-7683
Mailing Address - Street 1:78 S PRINCETON AVE # B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43222-1331
Mailing Address - Country:US
Mailing Address - Phone:614-975-7683
Mailing Address - Fax:
Practice Address - Street 1:78 S PRINCETON AVE # B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1331
Practice Address - Country:US
Practice Address - Phone:614-975-7683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty