Family Life Mental Health Center

NPI 1760489751 - Social Worker - 1041C0700X

NPI Details
NPI 1760489751
Enumeration Date 07/05/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ROBERT ROBERT
Position EXECUTIVE DIRECTOR
Phone (763) 427-7964
Fax (763) 427-7976
Practice Location
1930 COON RAPIDS BLVD NW
COON RAPIDS MN, 55433-4708, US
Phone (763) 427-7964
Fax (763) 427-7976
Business Location
1930 COON RAPIDS BLVD NW
COON RAPIDS MN, 55433-4708, US
Phone (763) 427-7964
Fax (763) 427-7976
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 8
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According to our database, Family Life Mental Health Center NPI is 1760489751, taxonomy code is 1041C0700X and license number is 8, license state is located at Minnesota. Family Life Mental Health Center physically located at 1930 Coon Rapids Blvd Nw, Coon Rapids MN, 55433-4708. NPI Number 1033115704 has the healthcare provider type.

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1760489751 NPI number is provided on an as is basis without warranty of any kind. 1760489751 is maintained by the National Plan & Provider Enumeration System. The contents of Family Life Mental Health Center are for informational purposes only.