Organization
WEST LAKE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN GRAUDS M.A (DIRECTOR)
(763) 383-0247
Entity
Organization
Contact information
Practice address
700 TWELVE OAKS CENTER DR, #260 UPSTAIRS, WAYZATA, MN 55391-4401
(763) 383-0247
(763) 577-9924
Mailing address
18020 28TH AVE N, PLYMOUTH, MN 55447-1627
(763) 383-0247
(763) 577-9924
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1325
MN
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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