Agate Bay Professionals Chemical Health Services
NPI #1568809366 in Two Harbors, Minnesota
Provider Information
- NPI Number
- 1568809366
- Entity Type
- Organization
- Organization Name
- Agate Bay Professionals Chemical Health Services
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jun 3, 2013
- Last Updated
- Jan 31, 2022
Practice Location
- Address
- 227 7TH ST
- City
- Two Harbors
- State
- Minnesota
- ZIP Code
- 55616-1530
- Phone
- (218) 830-8085
Authorized Official
- Name
- FAITH CLARK, MSW, LICSW, LADC
- Title
- COUNSELOR & THERAPIST
- Phone
- (218) 830-8085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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