Organization
CENTER FOR LIFE TRANSITIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROXANN J STORMS LICSW (BOARD CHAIR)
(320) 746-0025
Entity
Organization
Contact information
Practice address
38 24TH AVE N, SAINT CLOUD, MN 56303-4340
(320) 746-0025
Mailing address
38 24TH AVE N, SAINT CLOUD, MN 56303-4340
(320) 746-0025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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