| The Green House Center For Growth And Learning | |
|
135 W Center St Pleasant Grove UT 84062-2207 | |
| (801) 785-1169 | |
| (801) 785-1154 |
| Full Name | The Green House Center For Growth And Learning |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 135 W Center St, Pleasant Grove, Utah |
| Authorized Official Name and Position | Collette Dawsonloveless (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8017851169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Green House Center For Growth And Learning 135 W Center St Pleasant Grove UT 84062-2207 Ph: (801) 785-1169 | The Green House Center For Growth And Learning 135 W Center St Pleasant Grove UT 84062-2207 Ph: (801) 785-1169 |
| NPI Number | 1821206541 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821206541 | NPI | - | NPPES |
| 788007788047 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 348753-3501 (Utah) | Primary |
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