| NPI | 1952544629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALEKSANDER GRIBAS Psychotherapist 320-253-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 11987) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MN 300992) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |