| 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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