Organization
WOODHAVEN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY G. MATTISON-WYNN PSY.D. (CEO)
(763) 478-7395
Entity
Organization
Contact information
Practice address
30 1ST AVE NE, BUFFALO, MN 55313-1515
(763) 478-7395
Mailing address
3000 CARRIAGE DR, HAMEL, MN 55340-9597
(763) 478-7395
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
04/01/2021
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