| Intrepid Mental Health | |
|
1208 County Road 63 Balaton MN 56115-3119 | |
| (501) 591-0055 | |
| Not Available |
| Full Name | Intrepid Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1208 County Road 63, Balaton, Minnesota |
| Authorized Official Name and Position | Jessica Paulsen (THERAPIST) |
| Authorized Official Contact | 5075910055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intrepid Mental Health 1208 County Road 63 Balaton MN 56115-3119 Ph: (651) 402-8765 | Intrepid Mental Health 1208 County Road 63 Balaton MN 56115-3119 Ph: (501) 591-0055 |
| NPI Number | 1497506299 |
|---|---|
| Provider Enumeration Date | 03/29/2024 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497506299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Southwest Child Therapy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Summit Ave, Balaton, MN 56115 Phone: 507-820-1251 |