On The Farm Therapy, Llc | |
37272 20th Ave Dennison MN 55018-7425 | |
(612) 642-1114 | |
Not Available |
Full Name | On The Farm Therapy, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 37272 20th Ave, Dennison, Minnesota |
Authorized Official Name and Position | Evonne Broten (OWNER) |
Authorized Official Contact | 6126421114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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On The Farm Therapy, Llc 37272 20th Ave Dennison MN 55018-7425 Ph: () - | On The Farm Therapy, Llc 37272 20th Ave Dennison MN 55018-7425 Ph: (612) 642-1114 |
NPI Number | 1770240384 |
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Provider Enumeration Date | 11/18/2021 |
Last Update Date | 11/18/2021 |
Certification Date | 11/18/2021 |
Identifier | Type | State | Issuer |
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1770240384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |