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Organization
PROFESSIONAL RESOURCE NETWORK, INC
Active
Organization
PROFESSIONAL RESOURCE NETWORK, INC
Active
Other names
Professional Resource Network Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHARIE L DEVOLITES RN, BSN, MSHCA (PRESIDENT/CEO)
(952) 858-8807
Entity
Organization
Contact information
Practice address
1 WATER ST W, SUITE 288, SAINT PAUL, MN 55107-2002
(651) 414-0063
(651) 788-7508
Mailing address
2740 AMERICAN BLVD W, SUITE 100, BLOOMINGTON, MN 55431-1203
(952) 858-8807
(952) 858-8835
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1067063-1-CDT
MN
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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