| You Shine Too | |
|
215 S 4th St Grand Forks ND 58201-4737 | |
| (701) 787-1295 | |
| Not Available |
| Full Name | You Shine Too |
|---|---|
| Speciality | Case Management |
| Location | 215 S 4th St, Grand Forks, North Dakota |
| Authorized Official Name and Position | Jennifer Lahren (ADMINISTRATOR) |
| Authorized Official Contact | 7017871295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| You Shine Too 215 S 4th St Grand Forks ND 58201-4737 Ph: (701) 787-1295 | You Shine Too 215 S 4th St Grand Forks ND 58201-4737 Ph: (701) 787-1295 |
| NPI Number | 1043080229 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043080229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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