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Abc Mental Health Therapy

Clinic/Center, Mental Health (Including Community Mental Health Center) in Saint Paul, MN. Organization (NPI-2).

NPI number1942310974
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1942310974
Entity type
Organization (NPI-2)
Legal business name
Abc Mental Health Therapy
Organization subpart
No
Enumeration date
Aug 31, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)Certified Day TxMNYes

Practice location

1845 University Ave W
Saint Paul, MN 55104-3401

Phone 651-644-2600 · Fax 651-644-2888

Mailing address

1845 University Ave W
Saint Paul, MN 55104-3401

Phone 651-644-2600 · Fax 651-644-2888

Authorized official

Daine Qiao Jorento
Executive Director
6518155145

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