| NPI | 1023588381 |
|---|---|
| Doing Business As | GROW WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DAKOTA HARPER Director 917-297-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |