Vital Mental Health Pllc | |
1700 Highway 36 W Ste 330 Roseville MN 55113-4034 | |
(763) 357-0931 | |
Not Available |
Full Name | Vital Mental Health Pllc |
---|---|
Speciality | Clinic/center |
Location | 1700 Highway 36 W Ste 330, Roseville, Minnesota |
Authorized Official Name and Position | Adam Wick (OWNER) |
Authorized Official Contact | 7633570931 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vital Mental Health Pllc 1700 Highway 36 W Ste 330 Roseville MN 55113-4034 Ph: () - | Vital Mental Health Pllc 1700 Highway 36 W Ste 330 Roseville MN 55113-4034 Ph: (763) 357-0931 |
NPI Number | 1649038514 |
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Provider Enumeration Date | 03/06/2024 |
Last Update Date | 03/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649038514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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