Growing For Life Llc | |
239 N 1630 W Pleasant Grove UT 84062-3384 | |
(515) 661-1855 | |
Not Available |
Full Name | Growing For Life Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 239 N 1630 W, Pleasant Grove, Utah |
Authorized Official Name and Position | Isabel Otanez-ortiz (CEO) |
Authorized Official Contact | 5156611855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Growing For Life Llc 239 N 1630 W Pleasant Grove UT 84062-3384 Ph: (515) 661-1855 | Growing For Life Llc 239 N 1630 W Pleasant Grove UT 84062-3384 Ph: (515) 661-1855 |
NPI Number | 1235845793 |
---|---|
Provider Enumeration Date | 01/27/2023 |
Last Update Date | 01/27/2023 |
Certification Date | 01/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235845793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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