| Nbh Heather Ridge Llc | |
|
2345 Ariel St N Maplewood MN 55109-2248 | |
| (773) 919-9351 | |
| Not Available |
| Full Name | Nbh Heather Ridge Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2345 Ariel St N, Maplewood, Minnesota |
| Authorized Official Name and Position | Mark Weldler (MANAGER) |
| Authorized Official Contact | 7739199351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nbh Heather Ridge Llc 1350 Arcade St Saint Paul MN 55106-1802 Ph: (773) 919-9351 | Nbh Heather Ridge Llc 2345 Ariel St N Maplewood MN 55109-2248 Ph: (773) 919-9351 |
| NPI Number | 1972379402 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972379402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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