| Ostara Initiative | |
|
5353 Gamble Dr St Louis Park MN 55416-1509 | |
| (612) 382-3095 | |
| Not Available |
| Full Name | Ostara Initiative |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5353 Gamble Dr, St Louis Park, Minnesota |
| Authorized Official Name and Position | Erica Elizabeth Gerrity (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6123823095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ostara Initiative Po Box 18603 Minneapolis MN 55418-0603 Ph: () - | Ostara Initiative 5353 Gamble Dr St Louis Park MN 55416-1509 Ph: (612) 382-3095 |
| NPI Number | 1841957305 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841957305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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