Provider Demographics
NPI:1770182834
Name:GROWTH AND DEVELOPMENT LLC
Entity Type:Organization
Organization Name:GROWTH AND DEVELOPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SCHUYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:MANHATTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-768-3520
Mailing Address - Street 1:C/O HUMANLY
Mailing Address - Street 2:1200 HIGH RIDGE RD STE 208
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-1202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:C/O HUMANLY
Practice Address - Street 2:1200 HIGH RIDGE RD STE 208
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1202
Practice Address - Country:US
Practice Address - Phone:914-768-3520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health