Organization
AMHERST H. WILDER FOUNDATION
Active
Other names
Mental Health and Education
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BINGER (VICE PRESIDENT ADMINISTRATION)
(651) 642-4000
Entity
Organization
Contact information
Practice address
919 LAFOND AVE, SAINT PAUL, MN 55104-2108
(651) 642-4000
Mailing address
919 LAFOND AVE, SAINT PAUL, MN 55104-2108
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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