| Lion Community Enrichment Programs, Inc. | |
|
600 25th Ave S Suite #209 Saint Cloud MN 56301-4841 | |
| (320) 420-1272 | |
| (320) 240-6814 |
| Full Name | Lion Community Enrichment Programs, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 25th Ave S, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Kenneth Longfellow Hanna (FOUNDER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3204201272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lion Community Enrichment Programs, Inc. 600 25th Ave S Suite #209 Saint Cloud MN 56301-4841 Ph: (320) 420-1272 | Lion Community Enrichment Programs, Inc. 600 25th Ave S Suite #209 Saint Cloud MN 56301-4841 Ph: (320) 420-1272 |
| NPI Number | 1669918512 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669918512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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