Provider Demographics
NPI:1285077875
Name:READY SET GROW
Entity type:Organization
Organization Name:READY SET GROW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:207-564-0155
Mailing Address - Street 1:50 ENGDAHL DR
Mailing Address - Street 2:
Mailing Address - City:DOVER FOXCROFT
Mailing Address - State:ME
Mailing Address - Zip Code:04426-3652
Mailing Address - Country:US
Mailing Address - Phone:207-564-0155
Mailing Address - Fax:
Practice Address - Street 1:50 ENGDAHL DR
Practice Address - Street 2:
Practice Address - City:DOVER FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426-3652
Practice Address - Country:US
Practice Address - Phone:207-564-0155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health