| Cultivate & Grow Inc. | |
|
302 State St Suite 307 New London CT 06320 | |
| (860) 639-7728 | |
| Not Available |
| Full Name | Cultivate & Grow Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 302 State St Suite 307, New London, Connecticut |
| Authorized Official Name and Position | Melinda Venett (DIRECTOR) |
| Authorized Official Contact | 8606397728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivate & Grow Inc. 302 State St Suite 307 New London CT 06320 Ph: (860) 639-7728 | Cultivate & Grow Inc. 302 State St Suite 307 New London CT 06320 Ph: (860) 639-7728 |
| NPI Number | 1043668320 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 05/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043668320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2482 (Connecticut) | Primary |
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