| Kingdom Pathways | |
|
11825 Bittersweet St Nw Coon Rapids MN 55433-2917 | |
| (763) 862-5336 | |
| (763) 862-5336 |
| Full Name | Kingdom Pathways |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11825 Bittersweet St Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | James Michaud (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6513878393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Pathways 11825 Bittersweet St Nw Coon Rapids MN 55433-2917 Ph: (763) 862-5336 | Kingdom Pathways 11825 Bittersweet St Nw Coon Rapids MN 55433-2917 Ph: (763) 862-5336 |
| NPI Number | 1487893046 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487893046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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