Organization
ABINTRA, INC
Active
Organization
ABINTRA, INC
Active
Other names
Bloomington Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN OBRIEN LICSW (PRESIDENT)
(612) 968-6097
Entity
Organization
Contact information
Practice address
200 W 98TH ST, SUITE 107, BLOOMINGTON, MN 55420-3820
(612) 968-6097
(612) 435-9842
Mailing address
PO BOX 113, CRYSTAL BAY, MN 55323-0113
(612) 968-6097
(612) 435-9842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14313
MN
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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