Provider Demographics
NPI:1699914432
Name:GROWING HEALTHY NOW, LLC
Entity type:Organization
Organization Name:GROWING HEALTHY NOW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-883-2509
Mailing Address - Street 1:467 DONOFRIO DR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2855
Mailing Address - Country:US
Mailing Address - Phone:484-883-2509
Mailing Address - Fax:610-680-3843
Practice Address - Street 1:467 DONOFRIO DR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2855
Practice Address - Country:US
Practice Address - Phone:484-883-2509
Practice Address - Fax:610-680-3843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health