Grow in Illinois

NPI #1942485230 in Kankakee, Illinois

Provider Information

NPI Number: 1942485230
Entity Type: Organization
Organization Name: Grow in Illinois
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 4, 2008
Last Updated: Jan 4, 2008

Practice Location

Address: 1108 E COURT ST
City: Kankakee
State: Illinois
ZIP Code: 60901-4257
Phone: (815) 933-6690

Authorized Official

Name: MS. CAROL MUSSEY
Title: PRESIDENT
Phone: (217) 352-6989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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