| NPI | 1649852377 |
|---|---|
| Doing Business As | GROWTH WELLNESS AND CHANGE CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | REGINALD GILKESSON CEO 704-222-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-12-13 |