Organization
MOVING FORWARD ASSESSMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SUMMERS LADC (OWNER/ CEO.)
(763) 355-5092
Entity
Organization
Contact information
Practice address
950 COUNTY HIGHWAY 10, 108, SPRING LAKE PARK, MN 55432-1253
(763) 355-5092
Mailing address
950 COUNTY HIGHWAY 10, 108, SPRING LAKE PARK, MN 55432-1253
(763) 355-5092
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1059098-1-CDT
MN
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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