Provider Demographics
NPI:1194958645
Name:NEW PERSPECTIVES BEHAVIROAL HEALTH SYSTEMS
Entity type:Organization
Organization Name:NEW PERSPECTIVES BEHAVIROAL HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:612-419-7868
Mailing Address - Street 1:6427 PENN AVE S
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-1142
Mailing Address - Country:US
Mailing Address - Phone:612-465-8110
Mailing Address - Fax:612-455-2568
Practice Address - Street 1:6427 PENN AVE S
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-1142
Practice Address - Country:US
Practice Address - Phone:612-465-8110
Practice Address - Fax:612-455-2568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN301352251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health