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Contact Information

GENUINE THERAPY CENTER
630 E MAIN ST
ANOKA, MN55303
 Phone: 763-712-1903
 Fax: 763-712-1917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for GENUINE THERAPY CENTER

NPI Number 1841493608
LBN Legal business name GENUINE THERAPY CENTER
Authorized official TRENTON PETERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2007
Last updated 07/23/2018 - About 8 years ago
Identifiers
MN License # 1117
MN Medicaid 857665100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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