# GROW AND GLOW INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265866875
- **Authorized official:** GEORGETTE E PARKS MSED (SERVICE PROVIDER)
- **Authorized official phone:** (917) 346-2459

## Contact information

- **Practice address:** 218 SURF DR, BRONX, NY 10473-2472
- **Practice address phone:** (917) 346-2459
- **Mailing address:** 218 SURF DR, BRONX, NY 10473-2472
- **Mailing address phone:** (917) 346-2459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 47618 | NY | Yes |

## Other

- **Enumeration date:** 08/30/2013
- **Last updated:** 08/30/2013
