Organization · Type 2 NPI
Center for Self-Growth & Renewal, PC
Mental Health Clinic/Center (Including Community Mental Health Center) · Grand Forks, ND
NPI number
1265658967
Active
Practice location
1551 28th Ave S, Suite C
Grand Forks, ND 58201-6782
Fax (701) 746-6034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1265658967
Center for Self-Growth & Renewal, PC's National Provider Identifier is 1265658967, issued on Apr 18, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Grand Forks, ND. The record was last updated on Oct 26, 2011.