NPI | 1720347875 |
---|---|
Doing Business As | A CHANCE TO GROW, INC. |
Entity Type | Organization |
Authorized Contact | ERICA DICKERSON Clinical Director 612-706-5538 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2605) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: MN 2605) |
Enumeration Date | 2012-05-10 |
Last Update Date | 2023-01-18 |