| Gray Matter Partners | |
|
16809 260th Ave Mc Grath MN 56350-4538 | |
| (612) 716-3925 | |
| Not Available |
| Full Name | Gray Matter Partners |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 16809 260th Ave, Mc Grath, Minnesota |
| Authorized Official Name and Position | Mark Theodore Orth (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6127163925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Matter Partners 16809 260th Ave Mc Grath MN 56350-4538 Ph: (612) 716-3925 | Gray Matter Partners 16809 260th Ave Mc Grath MN 56350-4538 Ph: (612) 716-3925 |
| NPI Number | 1083987291 |
|---|---|
| Provider Enumeration Date | 02/18/2012 |
| Last Update Date | 02/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083987291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | LP4963 (Minnesota) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | LP4963 (Minnesota) | Primary |