| The Growth Place, Llc | |
|
301 Graceland Dr Se Ste B Albuquerque NM 87108-2778 | |
| (575) 740-1689 | |
| Not Available |
| Full Name | The Growth Place, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 Graceland Dr Se Ste B, Albuquerque, New Mexico |
| Authorized Official Name and Position | Kassandra Williams (OWNER) |
| Authorized Official Contact | 5757401689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Growth Place, Llc 2813 Alvarado Dr Ne Albuquerque NM 87110-3229 Ph: (575) 740-1689 | The Growth Place, Llc 301 Graceland Dr Se Ste B Albuquerque NM 87108-2778 Ph: (575) 740-1689 |
| NPI Number | 1164073102 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164073102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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