Provider Demographics
NPI:1568820231
Name:CLIMB FOR PTSD
Entity Type:Organization
Organization Name:CLIMB FOR PTSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRYBINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-980-8318
Mailing Address - Street 1:125 N RUBY LN
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:62208-1926
Mailing Address - Country:US
Mailing Address - Phone:618-980-8318
Mailing Address - Fax:618-398-1759
Practice Address - Street 1:125 N RUBY LN
Practice Address - Street 2:
Practice Address - City:FAIRVIEW HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:62208-1926
Practice Address - Country:US
Practice Address - Phone:618-980-8318
Practice Address - Fax:618-398-1759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable