Organization
FAMILY FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBEL GUSTAFSON MSW, LICSW (NORTHERN DIVISION DIRECTOR)
(218) 740-3146
Entity
Organization
Contact information
Practice address
15 BUCHANAN ST, 212, DULUTH, MN 55802-2328
(218) 740-3146
Mailing address
2800 UNIVERSITY AVE SE, 204, MINNEAPOLIS, MN 55414-3232
(612) 331-4429
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10075603
MN
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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