Organization
GROW WITH ME- CRECIENDO JUNTOS
Active
Organization
GROW WITH ME- CRECIENDO JUNTOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA N GARCIA (EXECUTIVE DIRECTOR)
(805) 598-7175
Entity
Organization
Contact information
Practice address
720 S FRONTAGE RD STE 103, NIPOMO, CA 93444-5626
(805) 242-6522
(805) 540-5890
Mailing address
720 S FRONTAGE RD STE 103, NIPOMO, CA 93444-5626
(805) 242-6522
(805) 540-5890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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