| St. Anthony Mental Health Clinic | |
|
2233 Hamline Ave N Suite 402 Roseville MN 55113-5009 | |
| (651) 634-4082 | |
| Not Available |
| Full Name | St. Anthony Mental Health Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2233 Hamline Ave N, Roseville, Minnesota |
| Authorized Official Name and Position | Michael George Graff (PRESIDENT) |
| Authorized Official Contact | 6516344082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Anthony Mental Health Clinic 2233 Hamline Ave N Suite 402 Roseville MN 55113-5009 Ph: (651) 634-4082 | St. Anthony Mental Health Clinic 2233 Hamline Ave N Suite 402 Roseville MN 55113-5009 Ph: (651) 634-4082 |
| NPI Number | 1427192814 |
|---|---|
| Provider Enumeration Date | 02/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427192814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5415 (Minnesota) | Primary |
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