| NPI | 1205436250 |
|---|---|
| Former Legal Business Name | GROWING WINGS LLC |
| Entity Type | Organization |
| Authorized Contact | JODIE L DIETRY Office Manager 234-334-7547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |