Provider Demographics
NPI:1205031838
Name:A PLACE TO GROW, INC.
Entity Type:Organization
Organization Name:A PLACE TO GROW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LOESCH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:919-321-2183
Mailing Address - Street 1:3930 SWARTHMORE RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5314
Mailing Address - Country:US
Mailing Address - Phone:919-321-2183
Mailing Address - Fax:919-321-0609
Practice Address - Street 1:3930 SWARTHMORE RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5314
Practice Address - Country:US
Practice Address - Phone:919-321-2183
Practice Address - Fax:919-321-0609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4316225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty