Organization
THE GROWTH PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASSANDRA WILLIAMS LMFT (OWNER)
(575) 740-1689
Entity
Organization
Contact information
Practice address
301 GRACELAND DR SE STE B, ALBUQUERQUE, NM 87108-2778
(575) 740-1689
Mailing address
2813 ALVARADO DR NE, ALBUQUERQUE, NM 87110-3229
(575) 740-1689
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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