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Addictions & Stress Clinic

Organization Active NPI Community/Behavioral Health Agency · Mankato, MN

NPI 1992085674 · NPPES record last updated Aug 25, 2011

Key facts

NPI
1992085674
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
LP1673 (MN)
Legal business name
ADDICTIONS & STRESS CLINIC
Practice address
12 Civic Center PLZ
Suite 2090
Mankato, MN 56001-7781
Phone
(507) 345-4679
Fax
(507) 345-8685
NPI assigned
Aug 25, 2011
Organization subpart
No

Authorized official

Name
Dr. George V Komaridis, PH.D., LP
Title
Clinical Director
Phone
(507) 345-4679

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Addictions and Stress Clinics LTD (2 organizations share this tax ID)

Locations

12 Civic Center Plz
Ste 2090
Mankato, MN 56001
Phone (507) 345-4679

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LP1673 MN Yes

Addresses

Primary practice location

12 Civic Center PLZ
Suite 2090
Mankato, MN 56001-7781

Mailing address

12 Civic Center PLZ
Suite 2090
Mankato, MN 56001-7781
Phone (507) 345-4679

Other names

  • ASC PSYCHOLOGICAL SERVICES Doing business as

Other providers in Mankato, MN

All providers in Mankato, MN · Community/Behavioral Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.