Organization · Type 2 NPI
Charles McCafferty, Md, LLC
Adult Mental Health Clinic/Center · St. Paul, MN
NPI number
1003094731
Active
Practice location
977 Summit Ave
St. Paul, MN 55105-3032
Fax (651) 227-9545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 17268 (MN) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1003094731
Charles McCafferty, Md, LLC's National Provider Identifier is 1003094731, issued on Feb 5, 2008. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in St. Paul, MN. The record was last updated on Feb 5, 2008.