institution
Vlw Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Blaine, Minnesota
NPI 1336628478

Vlw Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Blaine, MN and is specialized in Mental Health (Including Community Mental Health Center). Vlw Llc practices in Blaine, MN. The NPI Number for Vlw Llc is 1336628478 and holds a License No. 3061 (Minnesota).

The current practice location address for Vlw Llc is 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN and can be reached out via phone at 612-799-6652.

Location: 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN, 55449-6789
institution
Provider Profile Details
NPI Number
1336628478
Provider Name
Vlw Llc
Credential
Provider Entity Type
Organization
Address
4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN, 55449-6789
Phone Number
612-799-6652
Fax Number
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5724462 05 MN
institution
Provider Business Practice Location Address Details
Address
4255 Pheasant Ridge Dr Ne Ste 412
City
State
Zip
55449-5066
Phone Number
612-799-6652
Fax Number
person
Provider Business Mailing Address Details
Address
4255 Pheasant Ridge Dr Ne Ste 412
City
State
Zip
55449-5066
Phone Number
612-799-6652
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
3061 (Minnesota)
Definition
Definition to come...
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