Northeast Youth & Family Services

NPI #1073098810 in White Bear Lake, Minnesota

Provider Information

NPI Number
1073098810
Entity Type
Organization
Organization Name
Northeast Youth & Family Services
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHEAST YOUTH & FAMILY SERVICES
Primary Specialty
Clinic/Center - Community Health
Enumeration Date
Sep 27, 2018
Last Updated
Sep 27, 2018

Practice Location

Address
1280 N BIRCH LAKE BLVD
ZIP Code
55110-6708
Phone
(651) 429-8544

Authorized Official

Name
MS. LISA M PAQUET, BA
Title
CLINIC OPERATIONS MANAGER
Phone
(651) 379-3443

Specialties & Taxonomy Codes

Specialty
Psychologist - Clinical Child & AdolescentClinical Child & Adolescent
Clinic/Center - Community HealthCommunity Health

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