Organization
MACSON SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER JEAN MACDOUGALL (PROGRAM DIRECTOR)
(651) 788-2751
Entity
Organization
Contact information
Practice address
3737 4TH AVE S, MINNEAPOLIS, MN 55409-1326
(612) 823-5127
(612) 823-5127
Mailing address
3737 4TH AVE S, MINNEAPOLIS, MN 55409-1326
(612) 823-5127
(612) 823-5127
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1045950
MN
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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