Intrepid Mental Health | |
1208 County Road 63 Balaton MN 56115-3119 | |
(501) 591-0055 | |
Not Available |
Full Name | Intrepid Mental Health |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1208 County Road 63, Balaton, Minnesota |
Authorized Official Name and Position | Jessica Paulsen (THERAPIST) |
Authorized Official Contact | 5075910055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intrepid Mental Health 1208 County Road 63 Balaton MN 56115-3119 Ph: (651) 402-8765 | Intrepid Mental Health 1208 County Road 63 Balaton MN 56115-3119 Ph: (501) 591-0055 |
NPI Number | 1497506299 |
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Provider Enumeration Date | 03/29/2024 |
Last Update Date | 03/29/2024 |
Certification Date | 03/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497506299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |