Organization
PHIA T XIONG & JEFF D SPENCER FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIA TONY XIONG LICSW (PRESIDENT)
(651) 260-8707
Entity
Organization
Contact information
Practice address
2365 MCKNIGHT RD N, NORTH SAINT PAUL, MN 55109-2238
(651) 760-3236
(651) 222-6025
Mailing address
2365 MCKNIGHT RD N, NORTH SAINT PAUL, MN 55109-2238
(651) 760-3236
(651) 222-6025
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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