| Youth And Family Center Inc | |
|
4405 E Lake St Mpls MN 55406 | |
| (612) 722-9612 | |
| Not Available |
| Full Name | Youth And Family Center Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4405 E Lake St, Mpls, Minnesota |
| Authorized Official Name and Position | Martha Jane Merriman (CO CEO) |
| Authorized Official Contact | 6127229612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth And Family Center Inc 4405 E Lake St Mpls MN 55406 Ph: (612) 722-9612 | Youth And Family Center Inc 4405 E Lake St Mpls MN 55406 Ph: (612) 722-9612 |
| NPI Number | 1073694956 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073694956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP2536 (Minnesota) | Primary |
Isuroon Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 Phone: 612-886-2731 |