Organization
EFFECTIVE LIVING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN STEDHAM PSYD, LP (LICENSED PSYCHOLOGIST/PRESIDENT)
(320) 259-5381
Entity
Organization
Contact information
Practice address
821 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3515
(320) 259-5381
(320) 259-6171
Mailing address
821 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3515
(320) 259-5381
(320) 259-6171
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP5034
MN
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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