Lds Family Services Minnesota Agency | |
6120 Earle Brown Dr Ste 210 Brooklyn Center MN 55430-4107 | |
(763) 560-0900 | |
(763) 560-1288 |
Full Name | Lds Family Services Minnesota Agency |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 6120 Earle Brown Dr Ste 210, Brooklyn Center, Minnesota |
Authorized Official Name and Position | Mark T. Hales (DIRECTOR) |
Authorized Official Contact | 7635600900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lds Family Services Minnesota Agency 6120 Earle Brown Dr Ste 210 Brooklyn Center MN 55430-4107 Ph: (763) 560-0900 | Lds Family Services Minnesota Agency 6120 Earle Brown Dr Ste 210 Brooklyn Center MN 55430-4107 Ph: (763) 560-0900 |
NPI Number | 1043363567 |
---|---|
Provider Enumeration Date | 01/19/2007 |
Last Update Date | 06/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043363567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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