Organization
PRIMARY BEHAVIORAL HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE SAX (MANAGER)
(612) 378-2363
Entity
Organization
Contact information
Practice address
3433 BROADWAY ST NE STE 160, MINNEAPOLIS, MN 55413-1756
(612) 378-2363
(612) 378-2215
Mailing address
3433 BROADWAY ST NE STE 160, MINNEAPOLIS, MN 55413-1756
(612) 378-2363
(612) 378-2215
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
05/05/2008
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