| Superior Steps Aba Llc | |
|
138 Stacy Cir Waconia MN 55387-9722 | |
| (952) 212-4539 | |
| Not Available |
| Full Name | Superior Steps Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 138 Stacy Cir, Waconia, Minnesota |
| Authorized Official Name and Position | Annie Prchal (CEO) |
| Authorized Official Contact | 9522124539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Steps Aba Llc 138 Stacy Cir Waconia MN 55387-9722 Ph: (952) 212-4539 | Superior Steps Aba Llc 138 Stacy Cir Waconia MN 55387-9722 Ph: (952) 212-4539 |
| NPI Number | 1760005888 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 05/22/2020 |
| Certification Date | 05/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760005888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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