Personal Growth Corporation
NPI #1255478293 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1255478293
- Entity Type
- Organization
- Organization Name
- Personal Growth Corporation
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Oct 7, 2010
Practice Location
- Address
- 211 S WOODRUFF
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401
- Phone
- (208) 529-5548
Authorized Official
- Name
- DR. MICHAEL JON HARRIS, MSW, PHD
- Title
- DIRECTOR
- Phone
- (208) 529-5548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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