| Crossroads Christian Center | |
|
4165 Shoreline Dr Suite 15 Spring Park MN 55384-9659 | |
| (612) 747-7224 | |
| Not Available |
| Full Name | Crossroads Christian Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4165 Shoreline Dr, Spring Park, Minnesota |
| Authorized Official Name and Position | Debra Karen Kullberg (LICENSED MARRIAGE/ FAMILY THERAPIST) |
| Authorized Official Contact | 6127477224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Christian Center 4165 Shoreline Dr Suite 15 Spring Park MN 55384-9659 Ph: (612) 747-7224 | Crossroads Christian Center 4165 Shoreline Dr Suite 15 Spring Park MN 55384-9659 Ph: (612) 747-7224 |
| NPI Number | 1912242819 |
|---|---|
| Provider Enumeration Date | 12/03/2012 |
| Last Update Date | 12/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912242819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1886 (Minnesota) | Primary |
Mindfully Healing Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4154 Shoreline Dr Ste 202, Spring Park, MN 55384 Phone: 952-491-9450 Fax: 952-491-9460 |