Family Based Therapy Associates

NPI 1194762005 - Counselor - 101YM0800X

NPI Details
NPI 1194762005
Enumeration Date 05/31/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDALL D RANDALL
Position DIRECTOR
Phone (763) 780-1520
Fax (763) 780-2114
Practice Location
199 COON RAPIDS BLVD NW
SUITE 306
COON RAPIDS MN, 55433-5831, US
Phone (763) 780-1520
Fax (763) 780-2114
Business Location
199 COON RAPIDS BLVD NW
SUITE 306
COON RAPIDS MN, 55433-5831, US
Phone (763) 780-1520
Fax (763) 780-2114
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
Remove 1194762005 NPI Number
 

According to our database, Family Based Therapy Associates NPI is 1194762005, taxonomy code is 101YM0800X Family Based Therapy Associates physically located at 199 Coon Rapids Blvd Nw, Coon Rapids MN, 55433-5831. NPI Number 1033115704 has the healthcare provider type.

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1194762005 NPI number is provided on an as is basis without warranty of any kind. 1194762005 is maintained by the National Plan & Provider Enumeration System. The contents of Family Based Therapy Associates are for informational purposes only.