Organization · Type 2 NPI
SBTV LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · St. Louis Park, MN
NPI number
1992265615
Active
Practice location
6121 Excelsior Blvd Ste 101A
St. Louis Park, MN 55416-2752
Fax (716) 531-9060
Mailing address
PO Box 490171
Minneapolis, MN 55449-0171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1992265615
SBTV LLC's National Provider Identifier is 1992265615, issued on Mar 20, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in St. Louis Park, MN. The record was last updated on Jun 11, 2019.