| Organization Name: | GROW IT FORWARD, LLC |
| NPI Number: | 1497837173 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS EDWARD KING (OWNER) |
| Mailing Address: | 3820 Cleveland Ave N Suite 400 Arden Hills |
| State: | MN US |
| Postal Code: | 551123285 |
| Phone Number: | 6513894402 |
| Fax Number: | 6513894410 |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 10/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 5391 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |