Center For Self-Growth & Renewal, Pc

LBN: Center For Self-Growth & Renewal, Pc
Center For Self-Growth & Renewal, Pc is an health care organization with primary practice located at 1551 28Th Ave S Suite C, Grand Forks ND 58201-6782. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Center For Self-Growth & Renewal, Pc can be contacted via phone (701) 746-4400, or through Brustad, Laurie Ann via phone (701) 746-4400.

Contact Information

Primary practice address
1551 28Th Ave S Suite C Grand Forks ND 58201-6782
Phone: (701) 746-4400
Fax: (701) 746-6034
Website:
Map and Directions
Authorized official contact:
Name: Brustad, Laurie Ann PHD
Phone: (701) 746-4400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1265658967
LBN Legal business name Center For Self-Growth & Renewal, Pc
DBA Doing business as
Authorized official Brustad, Laurie Ann PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Oct 26th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265658967 NPPES
North Dakota MEDICAID 11912

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