Youth And Family Center Inc

NPI 1073694956 - Psychologist - 103T00000X

NPI Details
NPI 1073694956
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARTHA JANE MARTHA
Position CO CEO
Phone (612) 722-9612
Fax
Practice Location
4405 E LAKE ST
MPLS MN, 55406, US
Phone (612) 722-9612
Fax
Business Location
4405 E LAKE ST
MPLS MN, 55406, US
Phone (612) 722-9612
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Minnesota
License Number LP2536
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According to our database, Youth And Family Center Inc NPI is 1073694956, taxonomy code is 103T00000X and license number is LP2536, license state is located at Minnesota. Youth And Family Center Inc physically located at 4405 E Lake St, Mpls MN, 55406. NPI Number 1033115704 has the healthcare provider type.

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1073694956 NPI number is provided on an as is basis without warranty of any kind. 1073694956 is maintained by the National Plan & Provider Enumeration System. The contents of Youth And Family Center Inc are for informational purposes only.