| Community Outreach Center | |
|
113 Lommen 1104 7th Ave S Moorhead MN 56563-1013 | |
| (218) 477-2506 | |
| Not Available |
| Full Name | Community Outreach Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 113 Lommen, Moorhead, Minnesota |
| Authorized Official Name and Position | Benjamin Lee Erie (CLINIC COORDINATOR) |
| Authorized Official Contact | 2184772506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Outreach Center 113 Lommen 1104 7th Ave S Moorhead MN 56563-1013 Ph: (218) 477-2506 | Community Outreach Center 113 Lommen 1104 7th Ave S Moorhead MN 56563-1013 Ph: (218) 477-2506 |
| NPI Number | 1932540127 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932540127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
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