Provider Demographics
NPI:1780297879
Name:GRISHAM SERVICES INC.
Entity type:Organization
Organization Name:GRISHAM SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-225-3145
Mailing Address - Street 1:710 CHIPPEWA SQ STE 206
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4823
Mailing Address - Country:US
Mailing Address - Phone:906-225-3145
Mailing Address - Fax:906-225-4772
Practice Address - Street 1:710 CHIPPEWA SQ STE 206
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4823
Practice Address - Country:US
Practice Address - Phone:906-225-3145
Practice Address - Fax:906-225-4772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)