| Garza Therapeutic, Llc | |
|
33 E. Wentwroth Ave. #292 West St. Paul MN 55113 | |
| (651) 917-8698 | |
| (866) 879-4712 |
| Full Name | Garza Therapeutic, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33 E. Wentwroth Ave., West St. Paul, Minnesota |
| Authorized Official Name and Position | Roy Garza (CLININCAL DIRECTOR) |
| Authorized Official Contact | 6513248341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garza Therapeutic, Llc 33 Wentworth Ave E #292 West St Paul MN 55118-3431 Ph: (651) 917-8698 | Garza Therapeutic, Llc 33 E. Wentwroth Ave. #292 West St. Paul MN 55113 Ph: (651) 917-8698 |
| NPI Number | 1205105103 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 03/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205105103 | NPI | - | NPPES |
| 900002696 | Other | MN | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 12842 (Minnesota) | Primary |