OrganizationActive
Center for Self-Growth & Renewal, PC
NPI 1265658967 · Mental Health Clinic/Center (Including Community Mental Health Center) · Grand Forks, ND
Provider details
- NPI number
- 1265658967
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Laurie Brustad, Owner(701) 746-4400
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1551 28th Ave S
Suite C
Grand Forks, ND 58201-6782
Phone: (701) 746-4400
Fax: (701) 746-6034
Approximate (ZIP-level) locationGet directions
Mailing address
1551 28th Ave S
Grand Forks, ND 58201-6782
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2011-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.