Supportive Living Services, Inc. in Brooklyn Center - Community/behavioral Health
Supportive Living Services, Inc. - NPI 1346374063
Supportive Living Services, Inc. is a Community/behavioral Health in Brooklyn Center, Minnesota. Supportive Living Services, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Supportive Living Services, Inc. is 1346374063. The last update date is 2013-05-24.
Supportive Living Services, Inc.'s current location address is 5615 Brooklyn Blvd Ste 200, Brooklyn Center, Minnesota. You can contact this provider via phone number 7635376612. The mailing address for Supportive Living Services, Inc. is 5615 Brooklyn Blvd Ste 200, Brooklyn Center, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Supportive Living Services, Inc. |
|---|---|
| Address | 5615 Brooklyn Blvd Ste 200, Brooklyn Center, Minnesota |
| Phone Number | 7635376612 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Ollendick Wright M Diane |
| Credentials | LICSW |
| Telephone Number | 7632771038 |
NPI Number Detail
| NPI Number | 1346374063 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2013-05-24 |
Provider Mailing Address Detail
| Address | 5615 Brooklyn Blvd Ste 200 |
|---|---|
| City | Brooklyn Center |
| State | Minnesota (MN) |
| Post Code | 554293086 |
| Phone Number | 7635376612 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identifier code assigned to Supportive Living Services, Inc. by the Centers for Medicare & Medicaid Services?
The Supportive Living Services, Inc. has been issued the NPI (National Provider Identifier) 1346374063 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Supportive Living Services, Inc. is located?
The Supportive Living Services, Inc. is situated at the following address: 5615 Brooklyn Blvd Ste 200, Brooklyn Center, MN, 554293086.
What is Supportive Living Services, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Supportive Living Services, Inc. is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.
On what date did the Supportive Living Services, Inc. receive the assignment of its 1346374063 from the Centers for Medicare & Medicaid Services?
The Supportive Living Services, Inc. was issued its 1346374063 by the Centers for Medicare & Medicaid Services on 2007-03-15.
When was the Supportive Living Services, Inc.'s information last updated?
The Supportive Living Services, Inc.'s information was last updated on 2013-05-24.