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Organization

FAMILY SUPPORT SERVICES INC.

Active
Other names
Adult Rehabilitative Mental Health Services, Sagent Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
ANN EIDEN (VP OF OPERATIONS)
(651) 379-1750
Entity
Organization

Contact information

Practice address
1900 SILVER LAKE RD NW, SUITE 115, NEW BRIGHTON, MN 55112-1786
(651) 628-4993
(651) 379-1772
Mailing address
1900 SILVER LAKE RD NW STE 115, NEW BRIGHTON, MN 55112-1789
(651) 628-4993
(651) 379-1772

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
520038500
MN
Enumeration date
10/05/2006
Last updated
10/21/2025
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