FAMILY THERAPY & RECOVERY CTR
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1275647604- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5353 GAMBLE DR SUITE 108, ST LOUIS PARK, MN, 554161539
- Phone
- (952) 545-8833
Specialties & Taxonomies
Psychologist, Clinical
Primary License: MN #LP1366