Organization
FAMILY & CHILDREN'S SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE MILLER MA (DIRECTOR OF OPERATIONS)
(612) 341-1658
Entity
Organization
Contact information
Practice address
9201 E BLOOMINGTON FWY, SUITE Q, BLOOMINGTON, MN 55420-3437
(952) 884-7353
(952) 884-9684
Mailing address
414 S 8TH ST, MINNEAPOLIS, MN 55404-1025
(612) 341-1658
(612) 341-1642
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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