Organization
AAC PSYCHIATRIC SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ANN SCHACKMAN FPMHNP (FAMILYPSYCHIATRICNURSEPRACTITIONER)
(218) 368-6391
Entity
Organization
Contact information
Practice address
1526 30TH ST NW, BEMIDJI, MN 56601-4140
(218) 751-0887
Mailing address
1526 30TH ST NW, BEMIDJI, MN 56601-4140
(218) 751-0887
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
R 159021-8
MN
Other
Enumeration date
05/06/2008
Last updated
04/21/2020
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