| Center For Family And Mental Health Llc | |
|
1500 1st Ave Ne Ste 201a Rochester MN 55906-4311 | |
| (507) 218-8228 | |
| Not Available |
| Full Name | Center For Family And Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 1st Ave Ne Ste 201a, Rochester, Minnesota |
| Authorized Official Name and Position | Masahiko Sato (THERAPIT/OWNER) |
| Authorized Official Contact | 5072029186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Family And Mental Health Llc 1500 1st Ave Ne Ste 201a Rochester MN 55906-4311 Ph: (507) 218-8228 | Center For Family And Mental Health Llc 1500 1st Ave Ne Ste 201a Rochester MN 55906-4311 Ph: (507) 218-8228 |
| NPI Number | 1164190716 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/01/2021 |
| Medicare PECOS PAC ID | 6608319504 |
|---|---|
| Medicare Enrollment ID | O20240620001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164190716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Masahiko Sato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639285596 PECOS PAC ID: 7416490313 Enrollment ID: I20240620001337 |
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