| Grow On Llc | |
|
1702 Marissa Way Annapolis MD 21401-6598 | |
| (443) 203-8469 | |
| Not Available |
| Full Name | Grow On Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1702 Marissa Way, Annapolis, Maryland |
| Authorized Official Name and Position | Sabrina Paige Lueth Walker (OWNER) |
| Authorized Official Contact | 4432038469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow On Llc 1702 Marissa Way Annapolis MD 21401-6598 Ph: (443) 203-8469 | Grow On Llc 1702 Marissa Way Annapolis MD 21401-6598 Ph: (443) 203-8469 |
| NPI Number | 1023745841 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Certification Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023745841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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