| Emergence Behavioral Health | |
|
11090 183rd Cir Nw Ste C Elk River MN 55330-2884 | |
| (763) 333-8001 | |
| (763) 333-8001 |
| Full Name | Emergence Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11090 183rd Cir Nw Ste C, Elk River, Minnesota |
| Authorized Official Name and Position | Ronda Disch (PRESIDENT) |
| Authorized Official Contact | 7633338001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergence Behavioral Health 657 Main St Nw Ste 5 Elk River MN 55330-1584 Ph: (763) 333-8001 | Emergence Behavioral Health 11090 183rd Cir Nw Ste C Elk River MN 55330-2884 Ph: (763) 333-8001 |
| NPI Number | 1396246898 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 11/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396246898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | CC01306 (Minnesota) | Primary |
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