Grander Living LLC

NPI #1023511714 in Victoria, Minnesota

Provider Information

NPI Number: 1023511714
Entity Type: Organization
Organization Name: Grander Living LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 9, 2018
Last Updated: Mar 9, 2018

Practice Location

Address: 7924 VICTORIA DR STE 201C
City: Victoria
State: Minnesota
ZIP Code: 55386-2801
Phone: (952) 220-9283

Authorized Official

Name: RENEE E CARLSON, LPCC-S, RPT-S
Title: OWNER, MENTAL HEALTH COUNSELOR
Phone: (952) 220-9283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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