Provider Demographics
NPI:1679265847
Name:GROWTOGETHER
Entity Type:Organization
Organization Name:GROWTOGETHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ITFS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:MILAGROS
Authorized Official - Last Name:CHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-456-3649
Mailing Address - Street 1:176 BRICKTON VILLAGE CIR UNIT 101
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-8830
Mailing Address - Country:US
Mailing Address - Phone:941-456-3649
Mailing Address - Fax:
Practice Address - Street 1:176 BRICKTON VILLAGE CIR UNIT 101
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-8830
Practice Address - Country:US
Practice Address - Phone:941-456-3649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251S00000XAgenciesCommunity/Behavioral Health