NPI 1285841072
Blue Iris Center for Therapeutic Services
Practice location
- Address
- 6607 18th Ave S Suite 201, Richfield, MN 55423-2784
- Phone
- (612) 455-4040
- Fax
- (612) 455-4041
Authorised official
- Name
- Grant D Chikazawanelson
- Title
- Owner Therapist
- Phone
- (612) 455-4040
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1285841072
- Entity type
- Organization
- NPI issued
- 17 May 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.