| Power Of Progress Services, Llc | |
|
881 Mcintosh Dr Apple Valley MN 55124-8971 | |
| (952) 334-8278 | |
| (952) 431-2679 |
| Full Name | Power Of Progress Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 881 Mcintosh Dr, Apple Valley, Minnesota |
| Authorized Official Name and Position | Kyle Cloutier (LICSW/OWNER) |
| Authorized Official Contact | 9523348278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Power Of Progress Services, Llc 881 Mcintosh Dr Apple Valley MN 55124-8971 Ph: (952) 334-8278 | Power Of Progress Services, Llc 881 Mcintosh Dr Apple Valley MN 55124-8971 Ph: (952) 334-8278 |
| NPI Number | 1427516574 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 07/24/2020 |
| Certification Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427516574 | NPI | - | NPPES |
| 101604100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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