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Organization

GROW HEALTHCARE GROUP PA

Active
Other names
Grow Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
RAFID FADUL MD (OWNER)
(201) 293-7689
Entity
Organization

Contact information

Practice address
66 W FLAGLER ST STE 900, MIAMI, FL 33130-1807
(201) 293-7689
Mailing address
PO BOX 930, PORTSMOUTH, NH 03802-0930

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103T00000X
Psychologist
2084P0800X
Psychiatry Physician
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Enumeration date
05/28/2025
Last updated
05/28/2025
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