A Growth Place, Inc.

NPI 1073643482 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1073643482
Enumeration Date 03/06/2007
Last Updated 11/30/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY T. GREGORY
Position PRESIDENT
Phone (770) 506-9575
Fax (770) 506-9369
Practice Location
10 WILSON RD
SUITE 1
STOCKBRIDGE GA, 30281-4433, US
Phone (770) 506-9575
Fax (770) 506-9369
Business Location
10 WILSON RD
SUITE 1
STOCKBRIDGE GA, 30281-4433, US
Phone (770) 506-9575
Fax (770) 506-9369
Toxanomy
Taxonomy Code 106H00000X
License State Georgia
License Number MFT000125
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According to our database, A Growth Place, Inc. NPI is 1073643482, taxonomy code is 106H00000X and license number is MFT000125, license state is located at Georgia. A Growth Place, Inc. physically located at 10 Wilson Rd, Stockbridge GA, 30281-4433. NPI Number 1033115704 has the healthcare provider type.

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1073643482 NPI number is provided on an as is basis without warranty of any kind. 1073643482 is maintained by the National Plan & Provider Enumeration System. The contents of A Growth Place, Inc. are for informational purposes only.