Ostara Initiative
NPI #1275296642 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1275296642
- Entity Type
- Organization
- Organization Name
- Ostara Initiative
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 21, 2021
- Last Updated
- Oct 21, 2021
Practice Location
- Address
- 5353 GAMBLE DR STE 320
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-1545
- Phone
- (612) 382-3095
Authorized Official
- Name
- ERICA GERRITY, LICSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (612) 382-3095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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