| Canvas Health, Inc. | |
|
7565 4th Ave Lino Lakes MN 55014-1068 | |
| (651) 430-2720 | |
| (651) 351-3155 |
| Full Name | Canvas Health, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7565 4th Ave, Lino Lakes, Minnesota |
| Authorized Official Name and Position | Matthew M. Eastwood (COO) |
| Authorized Official Contact | 6517775222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canvas Health, Inc. 375 Orleans St E Stillwater MN 55082-5830 Ph: (651) 430-2720 | Canvas Health, Inc. 7565 4th Ave Lino Lakes MN 55014-1068 Ph: (651) 430-2720 |
| NPI Number | 1861727810 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861727810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 801109 (Minnesota) | Primary |
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