Greenhaven Therapy, LLC

NPI #1699239194 in Anoka, Minnesota

Provider Information

NPI Number: 1699239194
Entity Type: Organization
Organization Name: Greenhaven Therapy, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 29, 2019
Last Updated: Jan 29, 2019

Practice Location

Address: 540 GREENHAVEN RD STE 204
City: Anoka
State: Minnesota
ZIP Code: 55303-1675
Phone: (763) 203-3164

Authorized Official

Name: JASON COOK
Title: OWNER/THERAPIST
Phone: (763) 203-3164

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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