Jtp Professional Service Corporation | |
2038 Ford Pkwy # 444 Saint Paul MN 55116-1931 | |
(612) 500-3177 | |
Not Available |
Full Name | Jtp Professional Service Corporation |
---|---|
Speciality | Clinic/center |
Location | 2038 Ford Pkwy # 444, Saint Paul, Minnesota |
Authorized Official Name and Position | Brooke Bailey (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6125003177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jtp Professional Service Corporation 2038 Ford Pkwy # 444 Saint Paul MN 55116-1931 Ph: () - | Jtp Professional Service Corporation 2038 Ford Pkwy # 444 Saint Paul MN 55116-1931 Ph: (612) 500-3177 |
NPI Number | 1992320014 |
---|---|
Provider Enumeration Date | 06/15/2020 |
Last Update Date | 06/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992320014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |