Provider Demographics
NPI:1427833821
Name:C.A.R.E. CLINIC
Entity type:Organization
Organization Name:C.A.R.E. CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:KJISTINA
Authorized Official - Last Name:MALYON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-388-1022
Mailing Address - Street 1:906 COLLEGE AVE
Mailing Address - Street 2:DOOR #1
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066
Mailing Address - Country:US
Mailing Address - Phone:651-388-1022
Mailing Address - Fax:
Practice Address - Street 1:906 COLLEGE AVE
Practice Address - Street 2:DOOR #1
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066
Practice Address - Country:US
Practice Address - Phone:651-388-1022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C.A.R.E. CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-25
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Single Specialty