Organization
YOUTH SERVICE BUREAU INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL P WEILER MA (EXEC DIRECTOR)
(651) 439-8800
Entity
Organization
Contact information
Practice address
101 PINE ST W, STILLWATER, MN 55082-4994
(651) 439-8800
(651) 439-1040
Mailing address
101 W PINE ST, STILLWATER, MN 55082
(651) 439-8800
(651) 439-1040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24ZG940
BCBS
MN
01
—
8G55040
BCBS
MN
Enumeration date
09/15/2006
Last updated
08/22/2020
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