Organization
KAIROS THERAPY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH GRAMBUSH MA, LAMFT (OWNER)
(651) 357-5164
Entity
Organization
Contact information
Practice address
8609 LYNDALE AVE S STE 110, BLOOMINGTON, MN 55420-2733
(612) 688-5968
Mailing address
3410 BOULDER TRL, WEBSTER, MN 55088-3310
(651) 395-1791
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4095
—
MN
Enumeration date
11/04/2021
Last updated
11/04/2021
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