The Growth Place, LLC
Community/Behavioral Health in Albuquerque, NM. Organization (NPI-2).
NPI number1164073102
StatusActive
Last updated in NPPESSep 20, 2019
Details
- NPI
- 1164073102
- Entity type
- Organization (NPI-2)
- Legal business name
- The Growth Place, LLC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2019
- Last updated
- Sep 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
301 Graceland Dr Se Ste BAlbuquerque, NM 87108-2778
Phone 575-740-1689
Mailing address
2813 Alvarado Dr NeAlbuquerque, NM 87110-3229
Phone 575-740-1689
Authorized official
Kassandra Williams
Owner
5757401689
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