Center For Mental Health And Wellness, Llc | |
11855 Ulysses St Ne Ste 40 Blaine MN 55434-3947 | |
(763) 691-9032 | |
Not Available |
Full Name | Center For Mental Health And Wellness, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 11855 Ulysses St Ne Ste 40, Blaine, Minnesota |
Authorized Official Name and Position | Lisa Ann Wilke (OWNER) |
Authorized Official Contact | 7636919032 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Center For Mental Health And Wellness, Llc 11855 Ulysses St Ne Ste 40 Blaine MN 55434-3947 Ph: () - | Center For Mental Health And Wellness, Llc 11855 Ulysses St Ne Ste 40 Blaine MN 55434-3947 Ph: (763) 691-9032 |
NPI Number | 1457868820 |
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Provider Enumeration Date | 01/05/2018 |
Last Update Date | 01/05/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457868820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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