Organization · NPI-2

Behavioral Growth Center Aba. LLC

Community/Behavioral Health · Lakeland, FL

NPI number1326874850
StatusActive
Last updated in NPPESSep 11, 2024

Details

NPI
1326874850
Entity type
Organization (NPI-2)
Legal business name
Behavioral Growth Center Aba. LLC
Organization subpart
No
Enumeration date
Sep 11, 2024
Certification date
Sep 11, 2024
Last updated
Sep 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

123 Tuscarora St
Lakeland, FL 33805-2956

Phone 863-738-4919

Mailing address

123 Tuscarora St
Lakeland, FL 33805-2956

Authorized official

Roxana Marrero
Manager
8637384919

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