Provider Demographics
NPI:1962087783
Name:GATHER TOGETHER GROW TOGETHER
Entity type:Organization
Organization Name:GATHER TOGETHER GROW TOGETHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARWAN
Authorized Official - Middle Name:KAYIN-AKIL
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-373-3000
Mailing Address - Street 1:419 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98337-1426
Mailing Address - Country:US
Mailing Address - Phone:360-373-3000
Mailing Address - Fax:
Practice Address - Street 1:419 PARK AVE
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98337-1426
Practice Address - Country:US
Practice Address - Phone:360-373-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker