Moms Program | |
2515 Workforce Center Road Mahnomen MN 56557 | |
(218) 936-2442 | |
Not Available |
Full Name | Moms Program |
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Speciality | Community/behavioral Health |
Location | 2515 Workforce Center Road, Mahnomen, Minnesota |
Authorized Official Name and Position | Jeri Jasken (BEHAVIORAL HEALTH DIRECTOR) |
Authorized Official Contact | 2189834647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Moms Program Po Box 70 Naytahwaush MN 56566-0070 Ph: (218) 936-2442 | Moms Program 2515 Workforce Center Road Mahnomen MN 56557 Ph: (218) 936-2442 |
NPI Number | 1417316902 |
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Provider Enumeration Date | 02/12/2016 |
Last Update Date | 02/12/2016 |
Identifier | Type | State | Issuer |
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1417316902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |