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Organization

LDS FAMILY SERVICES

Active
Parent organization
LDS FAMILY SERVICES
Other names
LDS Family Services Minnesota Agency
Organization subpart
Yes

Provider details

NPI number
Legal business name
LDS FAMILY SERVICES
Authorized official
MR. MARK T. HALES LICSW (DIRECTOR)
(763) 560-0900
Entity
Organization

Contact information

Practice address
6120 EARLE BROWN DR STE 210, BROOKLYN CENTER, MN 55430-4107
(763) 560-0900
(763) 560-1288
Mailing address
6120 EARLE BROWN DR STE 210, BROOKLYN CENTER, MN 55430-4107
(763) 560-0900
(763) 560-1288

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/19/2007
Last updated
06/06/2008
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