| Organization Name: | GROVES ACADEMY |
| NPI Number: | 1043490824 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN ALEXANDER (HEAD) |
| Mailing Address: | 3200 Highway 100 S St Louis Park |
| State: | MN US |
| Postal Code: | 554162175 |
| Phone Number: | 9529206377 |
| Fax Number: | 9529202068 |
| NPI Enumeration Date: | 11/08/2007 |
| NPI Last Update Date: | 11/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | LP1736 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |