Organization · Type 2 NPI
Northeast Youth & Family Services
Community Health Clinic/Center · White Bear Lake, MN
NPI number
1073098810
Active
Practice location
1280 N Birch Lake Blvd
White Bear Lake, MN 55110-6708
Fax (651) 407-5301
Mailing address
3490 Lexington Ave N Ste 205
Shoreview, MN 55126-8044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | None listed |
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1073098810
Northeast Youth & Family Services's National Provider Identifier is 1073098810, issued on Sep 27, 2018. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in White Bear Lake, MN. The record was last updated on Sep 27, 2018.