| Mental Health Outreach Clinic | |
|
762 Transfer Rd Ste 21 Saint Paul MN 55114-1489 | |
| (651) 659-2955 | |
| (651) 645-7309 |
| Full Name | Mental Health Outreach Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 762 Transfer Rd Ste 21, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kathy Gregersen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6516592900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Outreach Clinic 762 Transfer Rd Ste 21 Saint Paul MN 55114-1489 Ph: (651) 659-2900 | Mental Health Outreach Clinic 762 Transfer Rd Ste 21 Saint Paul MN 55114-1489 Ph: (651) 659-2955 |
| NPI Number | 1184894230 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 06/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184894230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 395253300 (Minnesota) | Primary |
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