Organization
GROWING ROOTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA PAULA HERNANDEZ (DIRECTOR)
(512) 850-8281
Entity
Organization
Contact information
Practice address
2921 E 17TH ST, BLDG D, SUITE 4, AUSTIN, TX 78702-1509
(512) 850-8281
Mailing address
2921 E 17TH ST, BLDG D, SUITE 4, AUSTIN, TX 78702-1509
(512) 850-8281
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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