| Fresh Outlook, Pllc | |
|
657 Main St Nw Ste 104 Elk River MN 55330-1578 | |
| (612) 439-3084 | |
| Not Available |
| Full Name | Fresh Outlook, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 657 Main St Nw Ste 104, Elk River, Minnesota |
| Authorized Official Name and Position | Maura Freshour (OWNER) |
| Authorized Official Contact | 4042774774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Outlook, Pllc 657 Main St Nw Ste 104 Elk River MN 55330-1578 Ph: (612) 439-3084 | Fresh Outlook, Pllc 657 Main St Nw Ste 104 Elk River MN 55330-1578 Ph: (612) 439-3084 |
| NPI Number | 1205697885 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205697885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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