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NPI Code Detail

MEDICARE: CHILDREN'S HOME SOCIETY & FAMILY SERVICES

MEDICARE: CHILDREN'S HOME SOCIETY & FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104376FAOTHERMNBCBS INSURANCE
284-48904OTHERMNUBH INSURANCE
319156OTHERMNMHP INSURANCE
455607OTHERMNHEALTH PARTNERS INSURANCE
5102312OTHERMNU-CARE INSURANCE
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447317029
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S HOME SOCIETY & FAMILY SERVICES
Provider Business Mailing Address
First Line : 7600 BOONE AVE N
Second Line : SUITE 2
City : BROOKLYN PARK
State : MN
Zip : 55428-4563
Country : US
Telephone Number : 763-515-2441
Fax Number : 763-515-2442
Provider Business Practice Location Address
First Line : 7600 BOONE AVE N
Second Line : SUITE 2
City : BROOKLYN PARK
State : MN
Zip : 55428-4563
Country : US
Telephone Number : 763-515-2441
Fax Number : 763-515-2442
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. MADONNA KING
Credential :
Telephone Number : 651-255-2335
Provider Enumeration Date : 01/02/2007
Last Update Date : 02/17/2010

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1063579936 — MS. KATELYN MARIAH M.A, LICSW
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Directions to “CHILDREN'S HOME SOCIETY & FAMILY SERVICES ” Practice Location

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