Provider Demographics
NPI:1184269144
Name:GRA THERAPY SOLUTIONS, LLC
Entity type:Organization
Organization Name:GRA THERAPY SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:REID
Authorized Official - Last Name:ADELSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LMHC
Authorized Official - Phone:754-216-9883
Mailing Address - Street 1:3418 OTTAWA LN
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4616
Mailing Address - Country:US
Mailing Address - Phone:754-216-9883
Mailing Address - Fax:
Practice Address - Street 1:4601 SHERIDAN ST STE 400
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3435
Practice Address - Country:US
Practice Address - Phone:954-737-3957
Practice Address - Fax:954-281-4525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health