Organization
THE FAMILY DEVELOPMENT CENTER FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA WRIGHT (EXECUTIVE DIRECTOR)
(651) 330-3434
Entity
Organization
Contact information
Practice address
475 CLEVELAND AVE N STE 316, SAINT PAUL, MN 55104-5051
(651) 330-3434
(651) 330-3581
Mailing address
475 CLEVELAND AVE N STE 316, SAINT PAUL, MN 55104-5051
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174542567
—
MN
05
—
1477836815
—
MN
Enumeration date
01/24/2018
Last updated
01/24/2018
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