| Deep River Inc. | |
|
2432 Seabury Ave Minneapolis MN 55406-1454 | |
| (612) 729-9869 | |
| (612) 729-0201 |
| Full Name | Deep River Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2432 Seabury Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Ann Scott Dumas (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6127299869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep River Inc. 2432 Seabury Ave Minneapolis MN 55406-1454 Ph: (612) 729-9869 | Deep River Inc. 2432 Seabury Ave Minneapolis MN 55406-1454 Ph: (612) 729-9869 |
| NPI Number | 1902194608 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 07/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902194608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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