| Endeavor Clinic | |
|
1045 8th Ave Nw Byron MN 55920-1590 | |
| (801) 603-9880 | |
| (507) 624-0097 |
| Full Name | Endeavor Clinic |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1045 8th Ave Nw, Byron, Minnesota |
| Authorized Official Name and Position | Ammon K Fawson (OWNER) |
| Authorized Official Contact | 8016039880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavor Clinic 1045 8th Ave Nw Byron MN 55920-1590 Ph: (801) 603-9880 | Endeavor Clinic 1045 8th Ave Nw Byron MN 55920-1590 Ph: (801) 603-9880 |
| NPI Number | 1972995512 |
|---|---|
| Provider Enumeration Date | 02/18/2015 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972995512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Kind Spectrum Care Ll Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 686 Stone Haven Dr Ne, Byron, MN 55920 Phone: 507-517-1369 |