FAMILY BASED THERAPY ASSOCIATES NPI 1194762005

NPI Information

FAMILY BASED THERAPY ASSOCIATES is a mental health counselor in Coon Rapids, MN. FAMILY BASED THERAPY ASSOCIATES NPI is 1194762005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

199 COON RAPIDS BLVD NW
SUITE 306
COON RAPIDS, MN
ZIP 55433-831
Phone: (763) 780-1520
Fax: (763) 780-2114

The provider's authorized official is Randall D Wallace .
The authorized official title is Director and has the following contact phone number (763) 780-1520.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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