| Skill Spark Therapy Center, Pc | |
|
582 Hayward Ave N Oakdale MN 55128-5378 | |
| (715) 531-5546 | |
| Not Available |
| Full Name | Skill Spark Therapy Center, Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 582 Hayward Ave N, Oakdale, Minnesota |
| Authorized Official Name and Position | Amber Priestley (OWNER) |
| Authorized Official Contact | 7155315546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skill Spark Therapy Center, Pc 582 Hayward Ave N Oakdale MN 55128-5378 Ph: (715) 531-5546 | Skill Spark Therapy Center, Pc 582 Hayward Ave N Oakdale MN 55128-5378 Ph: (715) 531-5546 |
| NPI Number | 1477185940 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477185940 | NPI | - | NPPES |
| 1700269925 | Medicaid | MN |
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