Organization
EMPOWERING KIDS PERHAM
Active
Organization
EMPOWERING KIDS PERHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE ANDERSON (EXECUTIVE DIRECTOR)
(218) 347-9911
Entity
Organization
Contact information
Practice address
231 FOX ST, PERHAM, MN 56573-2337
(218) 346-2322
Mailing address
231 FOX ST, PERHAM, MN 56573-2337
(218) 346-2322
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/17/2018
Last updated
05/13/2026
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