| NPI | 1831852243 |
|---|---|
| Doing Business As | GRAY SPACE THERAPY |
| Entity Type | Organization |
| Authorized Contact | AMANDA HOHAG President/Clinical Therapist 952-239-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-21 |