Growth Educational Services, INC
Early Intervention Provider Agency in Long Beach, CA. Organization (NPI-2).
NPI number1861178089
StatusActive
Last updated in NPPESJun 22, 2023
Details
- NPI
- 1861178089
- Entity type
- Organization (NPI-2)
- Legal business name
- Growth Educational Services, INC
- Organization subpart
- No
- Enumeration date
- Jun 22, 2023
- Certification date
- Jun 22, 2023
- Last updated
- Jun 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 261QA3000X | Clinic/Center, Augmentative Communication | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
1017 Chestnut AveLong Beach, CA 90813-2921
Phone 562-441-7412
Mailing address
1017 Chestnut AveLong Beach, CA 90813-2921
Authorized official
Stephanie Michelle Martinez
President
5624417412
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