Prairie St. John's Clinic

NPI #1073601258 in Woodbury, Minnesota

Provider Information

NPI Number
1073601258
Entity Type
Organization
Organization Name
Prairie St. John's Clinic
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Oct 11, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
7616 CURRELL BLVD
Address 2
SUITE 100
ZIP Code
55125-2290
Phone
(651) 259-9700

Authorized Official

Name
MR. JERRY W MAGNISON, CFO
Title
CHIEF FINANCIAL OFFICER
Phone
(701) 476-7221

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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