Shade of the Tree
NPI #1104196096 in Spirit Lake, Iowa
Provider Information
- NPI Number
- 1104196096
- Entity Type
- Organization
- Organization Name
- Shade of the Tree
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 9, 2012
- Last Updated
- Jan 9, 2012
Practice Location
- Address
- 3013 ZENITH AVE UNIT B
- City
- Spirit Lake
- State
- Iowa
- ZIP Code
- 51360-2134
- Phone
- (712) 330-9140
Authorized Official
- Name
- DANIEL GIGSTAD, MA
- Title
- OWNER
- Phone
- (712) 330-9140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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