Gray Matter Partners | |
16809 260th Ave Mc Grath MN 56350-4538 | |
(612) 716-3925 | |
Not Available |
Full Name | Gray Matter Partners |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 16809 260th Ave, Mc Grath, Minnesota |
Authorized Official Name and Position | Mark Theodore Orth (CLINICAL DIRECTOR) |
Authorized Official Contact | 6127163925 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gray Matter Partners 16809 260th Ave Mc Grath MN 56350-4538 Ph: (612) 716-3925 | Gray Matter Partners 16809 260th Ave Mc Grath MN 56350-4538 Ph: (612) 716-3925 |
NPI Number | 1083987291 |
---|---|
Provider Enumeration Date | 02/18/2012 |
Last Update Date | 02/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083987291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | LP4963 (Minnesota) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | LP4963 (Minnesota) | Secondary |