| Eagancare Behavioral Health Services Llp. | |
|
1766 Gabbro Trl Eagan MN 55122-2919 | |
| (763) 639-3356 | |
| Not Available |
| Full Name | Eagancare Behavioral Health Services Llp. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1766 Gabbro Trl, Eagan, Minnesota |
| Authorized Official Name and Position | Ronald N Omari (DIRECTOR.) |
| Authorized Official Contact | 7636393356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagancare Behavioral Health Services Llp. 1766 Gabbro Trl Eagan MN 55122-2919 Ph: (763) 639-3356 | Eagancare Behavioral Health Services Llp. 1766 Gabbro Trl Eagan MN 55122-2919 Ph: (763) 639-3356 |
| NPI Number | 1487278172 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 06/03/2020 |
| Certification Date | 06/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487278172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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