Advanced Behavioral Health, Inc

NPI 1013139419 - Psychologist - 103T00000X

NPI Details
NPI 1013139419
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOANNE MARIE JOANNE
Position CHIEF EXECUTIVE OFFICER
Phone (763) 560-8331
Fax (763) 560-8431
Practice Location
7040 LAKELAND AVE N
SUITE 208
BROOKLYN PARK MN, 55428-5600, US
Phone (763) 560-8331
Fax (763) 560-8431
Business Location
7040 LAKELAND AVE NORTH
SUITE 208
BROOKLYN PARK MN, 55428, US
Phone (763) 560-8331
Fax (763) 560-8431
Toxanomy
Taxonomy Code 103T00000X
License State Minnesota
License Number LP3939
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According to our database, Advanced Behavioral Health, Inc NPI is 1013139419, taxonomy code is 103T00000X and license number is LP3939, license state is located at Minnesota. Advanced Behavioral Health, Inc physically located at 7040 Lakeland Ave N, Brooklyn Park MN, 55428-5600. NPI Number 1033115704 has the healthcare provider type.

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1013139419 NPI number is provided on an as is basis without warranty of any kind. 1013139419 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Behavioral Health, Inc are for informational purposes only.