Optiovillage, INC
NPI #1184002784 in Anoka, Minnesota
Provider Information
- NPI Number
- 1184002784
- Entity Type
- Organization
- Organization Name
- Optiovillage, INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 14, 2015
- Last Updated
- May 14, 2015
Practice Location
Authorized Official
- Name
- TRENTON JON PETERSON, MA, LMFT
- Title
- CLINICAL DIRECTOR
- Phone
- (763) 712-1903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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