| Youth Service Bureau Inc | |
|
101 Pine St W Stillwater MN 55082-4994 | |
| (651) 439-8800 | |
| (651) 439-1040 |
| Full Name | Youth Service Bureau Inc |
|---|---|
| Speciality | Counselor |
| Location | 101 Pine St W, Stillwater, Minnesota |
| Authorized Official Name and Position | Paul P Weiler (EXEC DIRECTOR) |
| Authorized Official Contact | 6514398800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Service Bureau Inc 101 W Pine St Stillwater MN 55082 Ph: (651) 439-8800 | Youth Service Bureau Inc 101 Pine St W Stillwater MN 55082-4994 Ph: (651) 439-8800 |
| NPI Number | 1528164852 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528164852 | NPI | - | NPPES |
| 8G55040 | Other | MN | BCBS |
| 24ZG940 | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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