Abijah'S Hope
Organization Active NPI Community/Behavioral Health Agency · Stillwater, MN
NPI 1053700740 · NPPES record last updated Jan 18, 2015
Key facts
- NPI
- 1053700740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 21186 (MN)
- Legal business name
- ABIJAH'S HOPE
- Practice address
- 12058 55TH St N
Stillwater, MN 55082-2029 - Phone
- (715) 379-1370
- NPI assigned
- Jan 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Anna Marie Pederson, LICSW
- Title
- Clinical Director
- Phone
- (320) 219-3192
Practitioners 1
-
Anna Steinmetz, LICSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 21186 | MN | Yes |
Addresses
Primary practice location
12058 55TH St N
Stillwater, MN 55082-2029
Mailing address
12058 55TH St N
Stillwater, MN 55082-2029
Phone (715) 379-1370
Other providers in Stillwater, MN
- 20/20 Opticians LLP
- Marianne M Abbott
- Naema Suleiman Abdulkadir
- April D Abrahamson
- Hayley Ann Abram
- Jessica Acker
- Acres for Life Therapy & Wellness Center
- Beth Allison Adams
All providers in Stillwater, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.