Family Life Mental Health Center
NPI #1760489751 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1760489751
- Entity Type
- Organization
- Organization Name
- Family Life Mental Health Center
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 5, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1930 COON RAPIDS BLVD NW
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-4708
- Phone
- (763) 427-7964
Authorized Official
- Name
- ROBERT SULLIVAN, LICSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (763) 427-7964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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