NPI | 1013414150 |
---|---|
Doing Business As | GRO COMMUNITY |
Entity Type | Organization |
Authorized Contact | AARON MALLORY Chief Executive Officer 773-253-8385 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2018-04-06 |
Last Update Date | 2023-12-12 |