| Park Avenue Center Mental Health Services | |
|
2649 Park Avenue South Minneapolis MN 55407-1006 | |
| (612) 871-7443 | |
| (612) 871-0194 |
| Full Name | Park Avenue Center Mental Health Services |
|---|---|
| Speciality | Psychologist |
| Location | 2649 Park Avenue South, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mark Casagrande (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6128717443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Center Mental Health Services 2649 Park Avenue South Minneapolis MN 55407-1006 Ph: (612) 871-7443 | Park Avenue Center Mental Health Services 2649 Park Avenue South Minneapolis MN 55407-1006 Ph: (612) 871-7443 |
| NPI Number | 1710227103 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 02/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710227103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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