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PROFESSIONAL RESOURCE NETWORK INC NPI 1861817207


NPI Information

NPI: 1861817207
Provider Name: PROFESSIONAL RESOURCE NETWORK, INC

Other Name: PROFESSIONAL RESOURCE NETWORK BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1 WATER ST W
SUITE 288
SAINT PAUL, MN
ZIP 55107
Phone: (651) 414-0063
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PROFESSIONAL RESOURCE NETWORK, INC is a mental health (including community mental health center) clinic center in Saint Paul, MN. PROFESSIONAL RESOURCE NETWORK, INC NPI is 1861817207. The provider is registered as an organization entity type.
The provider Other Name Is Professional Resource Network Behavioral Health.

The provider's business location address is:

1 WATER ST W
SUITE 288
SAINT PAUL, MN
ZIP 55107-002
Phone: (651) 414-0063
Fax: (651) 788-7508

The provider's authorized official is Charie L Devolites .
The authorized official title is President/ceo and has the following contact phone number (952) 858-8807.

The enumeration date for this NPI number is 2/21/2014 and was last updated on 2/21/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)1067063-1-CDTMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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