Organization
WATERCOURSE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA OLSEN (EXECUTIVE DIRECTOR)
(612) 822-8227
Entity
Organization
Contact information
Practice address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
(612) 822-2887
Mailing address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
(612) 822-2887
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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