| Abijah's Hope | |
|
12058 55th St N Stillwater MN 55082-2029 | |
| (715) 379-1370 | |
| Not Available |
| Full Name | Abijah's Hope |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12058 55th St N, Stillwater, Minnesota |
| Authorized Official Name and Position | Anna Marie Pederson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3202193192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abijah's Hope 12058 55th St N Stillwater MN 55082-2029 Ph: (715) 379-1370 | Abijah's Hope 12058 55th St N Stillwater MN 55082-2029 Ph: (715) 379-1370 |
| NPI Number | 1053700740 |
|---|---|
| Provider Enumeration Date | 01/18/2015 |
| Last Update Date | 01/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053700740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 21186 (Minnesota) | Primary |
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