| Mid-range Chemical Dependency Services | |
|
522 E Howard St Ste 101 Hibbing MN 55746-1714 | |
| (218) 262-0860 | |
| Not Available |
| Full Name | Mid-range Chemical Dependency Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 522 E Howard St Ste 101, Hibbing, Minnesota |
| Authorized Official Name and Position | Amanda Clark (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 2182620860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-range Chemical Dependency Services 522 E Howard St Ste 101 Hibbing MN 55746-1714 Ph: (218) 262-0860 | Mid-range Chemical Dependency Services 522 E Howard St Ste 101 Hibbing MN 55746-1714 Ph: (218) 262-0860 |
| NPI Number | 1588936819 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588936819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1061219 (Minnesota) | Primary |
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