FOURTH AVENUE HOMES INC.
Community Based Residential Treatment Facility, Mental Illness
Active
Organization
NPI: 1205012507
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | Yes | 804433 (MN) |
Frequently Asked Questions
NPI 1205012507 is the National Provider Identifier for FOURTH AVENUE HOMES INC., a Community Based Residential Treatment Facility, Mental Illness provider located in Spicer, MN. This NPI was enumerated on January 16, 2008.
Quick Facts
- NPI
- 1205012507
- Type
- Organization
- Enumerated
- Jan 16, 2008
- Last Updated
- Apr 15, 2008
Nearby Providers
-
DR. ZACHARY REIERSON, DDS
Dentist - General Practice
-
MS. SUSAN ZANIN, LICENSED PSYCHOLOGIS
Social Worker - School
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MS. KAREN ROSMAN-BANGASSER, CPRP MS
Counselor - Mental Health
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DR. MARK BLOOMQUIST, DDS
Dentist - General Practice
-
KATHERINE SLAMA, PHD
Psychologist - Clinical