Provider Demographics
NPI:1073216248
Name:GROWING COMMUNITY SERVICES
Entity Type:Organization
Organization Name:GROWING COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTZBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-358-8445
Mailing Address - Street 1:607 GREEN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-1511
Mailing Address - Country:US
Mailing Address - Phone:608-358-8445
Mailing Address - Fax:
Practice Address - Street 1:607 GREEN MEADOW DR
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1511
Practice Address - Country:US
Practice Address - Phone:608-358-8445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management