Organization
GRIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD JOSEPH OBERSHAW MSW, LICSW (DIRECTOR)
(612) 867-4866
Entity
Organization
Contact information
Practice address
20055 HOYA CT, LAKEVILLE, MN 55044-6829
(612) 867-4866
Mailing address
20055 HOYA CT, LAKEVILLE, MN 55044-6829
(612) 867-4866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0753
MN
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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