| NPI | 1811694367 |
|---|---|
| Doing Business As | GROWTH MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TA'BORIS OSBORNE Member 662-760-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |