| Growthouse Inc. | |
|
18303 Cairo Ave Carson CA 90746-1731 | |
| (323) 304-1554 | |
| Not Available |
| Full Name | Growthouse Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18303 Cairo Ave, Carson, California |
| Authorized Official Name and Position | Tracy Flores Peeples (OWNER) |
| Authorized Official Contact | 3233041554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growthouse Inc. 18303 Cairo Ave Carson CA 90746-1731 Ph: (323) 304-1554 | Growthouse Inc. 18303 Cairo Ave Carson CA 90746-1731 Ph: (323) 304-1554 |
| NPI Number | 1306546726 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306546726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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