Organization
ASCEND FAMILY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY KORST (BILLING REPRESATATIVE)
(763) 244-4900
Entity
Organization
Contact information
Practice address
20980 ROGERS DRIVE, #400, ROGERS, MN 55374
(763) 244-4900
(763) 447-3957
Mailing address
20980 ROGERS DRIVE, #400, ROGERS, MN 55374
(763) 244-4900
(763) 447-3957
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMFT1986
MN
251S00000X
Community/Behavioral Health Agency
LPCCCC00085
MN
Other
Enumeration date
09/10/2009
Last updated
11/09/2016
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