Grief Center
Organization Active NPI Community/Behavioral Health Agency · Lakeville, MN
NPI 1962585869 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1962585869
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 0753 (MN)
- Legal business name
- GRIEF CENTER
- Practice address
- 20055 Hoya CT
Lakeville, MN 55044-6829 - Phone
- (612) 867-4866
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard Joseph Obershaw, MSW, LICSW
- Title
- Director
- Phone
- (612) 867-4866
Practitioners 1
-
Richard Joseph Obershaw, MSW, LICSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0753 | MN | Yes |
Addresses
Primary practice location
20055 Hoya CT
Lakeville, MN 55044-6829
Mailing address
20055 Hoya CT
Lakeville, MN 55044-6829
Phone (612) 867-4866
Other providers in Lakeville, MN
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- Grand St Paul CVS Phcy LLC
- Tracy Lu Grasdal
- Great Work LLC
- Nicole Renee Green
- Sara Grimes
- Tracy Loretta Grochow
- Anna Marie Groen
- Scot Gubbels
- Erik Gudmundson
All providers in Lakeville, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.