| NPI | 1104379304 |
|---|---|
| Doing Business As | GROW THE VINE SPEECH & WELLNESS GYM |
| Entity Type | Organization |
| Authorized Contact | JULIE L BARRIENTES Owner/Chief Slp 863-712-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2020-02-21 |