| Children's Mental Health Services | |
|
35382 U.s. Hwy 2 West Grand Rapids MN 55744 | |
| (218) 327-4886 | |
| (218) 327-4848 |
| Full Name | Children's Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 35382 U.s. Hwy 2 West, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Beth Marie Prewett (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2183274886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Mental Health Services 35382 U.s. Hwy 2 West Grand Rapids MN 55744 Ph: (218) 327-4886 | Children's Mental Health Services 35382 U.s. Hwy 2 West Grand Rapids MN 55744 Ph: (218) 327-4886 |
| NPI Number | 1366504904 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366504904 | NPI | - | NPPES |
| 552553500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP2179 (Minnesota) | Primary |
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