W WADE PHD LP LLC is an adult mental health clinic center in St Louis Park, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. W WADE PHD LP LLC NPI is 1477859940. The provider is registered as an organization entity type.
The provider's business location address is:
4500 PARK GLEN RD
SUITE 270
ST LOUIS PARK, MN
ZIP 55416-871
Phone: (952) 929-9478
Fax: (952) 929-9548
The provider's authorized official is Wendy Ann Wade .
The authorized official title is Owner and has the following contact phone number (612) 385-6392.
The enumeration date for this NPI number is 2/1/2011 and was last updated on 2/1/2011.