Emerald Grove Wellness LLC
NPI #1104427806 in Mars, Pennsylvania
Provider Information
- NPI Number
- 1104427806
- Entity Type
- Organization
- Organization Name
- Emerald Grove Wellness LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Nov 8, 2020
- Last Updated
- Nov 8, 2020
Practice Location
- Address
- 214 BRICKYARD RD
- City
- Mars
- State
- Pennsylvania
- ZIP Code
- 16046-3006
- Phone
- (724) 766-3825
Authorized Official
- Name
- RYAN GANTER, LPC
- Title
- OWNER
- Phone
- (724) 766-3825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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