| Minnesota State College And Universities | |
|
1600 Warren St Ste 6 Mankato MN 56001-7113 | |
| (507) 389-1443 | |
| Not Available |
| Full Name | Minnesota State College And Universities |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1600 Warren St Ste 6, Mankato, Minnesota |
| Authorized Official Name and Position | Addie Evans (CLINIC MANAGER) |
| Authorized Official Contact | 5073891082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota State College And Universities 1600 Warren St Ste 6 Mankato MN 56001-7113 Ph: (507) 389-1443 | Minnesota State College And Universities 1600 Warren St Ste 6 Mankato MN 56001-7113 Ph: (507) 389-1443 |
| NPI Number | 1104651355 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104651355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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