Organization · Type 2 NPI

Itasca Psychiatric Services Inc

Mental Health Clinic/Center (Including Community Mental Health Center) · Grand Rapids, MN

NPI number 1083646327 Active

Practice location

25 NE 3rd St
Grand Rapids, MN 55744-2742

Call (218) 327-2284 Map

Fax (218) 327-3173

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X23479 (MN)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1083646327

Itasca Psychiatric Services Inc's National Provider Identifier is 1083646327, issued on Jul 7, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Grand Rapids, MN. The record was last updated on Aug 22, 2020.