Organization
GROWTH R US
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WILLIAMS (OWNER)
(917) 539-2135
Entity
Organization
Contact information
Practice address
2015 BRUCKNER BLVD, APT.5C, BRONX, NY 10472-6510
(917) 539-2135
Mailing address
2015 BRUCKNER BLVD, APT.5C, BRONX, NY 10472-6510
(917) 539-2135
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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