Organization
LION COMMUNITY ENRICHMENT PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LONGFELLOW HANNA II LICSW (FOUNDER/EXECUTIVE DIRECTOR)
(320) 420-1272
Entity
Organization
Contact information
Practice address
600 25TH AVE S, SUITE #209, SAINT CLOUD, MN 56301-4841
(320) 420-1272
(320) 240-6814
Mailing address
600 25TH AVE S, SUITE #209, SAINT CLOUD, MN 56301-4841
(320) 420-1272
(320) 240-6814
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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