| Lds Family Services Minnesota Agency | |
|
6120 Earle Brown Dr Ste 210 Brooklyn Center MN 55430-4107 | |
| (763) 560-0900 | |
| (763) 560-1288 |
| Full Name | Lds Family Services Minnesota Agency |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6120 Earle Brown Dr Ste 210, Brooklyn Center, Minnesota |
| Authorized Official Name and Position | Mark T. Hales (DIRECTOR) |
| Authorized Official Contact | 7635600900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services Minnesota Agency 6120 Earle Brown Dr Ste 210 Brooklyn Center MN 55430-4107 Ph: (763) 560-0900 | Lds Family Services Minnesota Agency 6120 Earle Brown Dr Ste 210 Brooklyn Center MN 55430-4107 Ph: (763) 560-0900 |
| NPI Number | 1043363567 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043363567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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