| NPI | 1144065202 |
|---|---|
| Doing Business As | GRACEFUL GROWTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MIRIAM BUELL Lcmhc/Owner 385-409-0363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-07-10 |