Prairie St John's Clinic

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1073601258

Prairie St John's Clinic is an Adolescent and Children Mental Health Clinic/Center in Woodbury, Minnesota. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in: ND
In the registry since: 2006

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Practice location Address checks out

7616 Currell Blvd Ste 100
Woodbury, MN 55125-2290
Phone: (651) 259-9700
Fax: (651) 259-9740

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary)	Taxonomy 261QM0855X · Licence 5063A (ND)

Record details

NPI number	1073601258
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Jerry Magnison — Chief Financial Officer · (701) 476-7221
NPI enumerated	October 11, 2006
Last updated in NPPES	August 22, 2020
Mailing address	510 4th St S, Po Box 2027, Fargo, ND 58103-1914