Agate Bay Professionals Chemical Health Services

LBN: Agate Bay Professionals Chemical Health Services
Agate Bay Professionals Chemical Health Services is an health care organization with primary practice located at 227 7Th St , Two Harbors MN 55616-1530. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Agate Bay Professionals Chemical Health Services can be contacted via phone (218) 830-8085, or through Clark, Faith via phone (218) 830-8085.

Contact Information

Primary practice address
227 7Th St Two Harbors MN 55616-1530
Phone: (218) 830-8085
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Faith MSW, LICSW, LADC
Phone: (218) 830-8085

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1568809366
LBN Legal business name Agate Bay Professionals Chemical Health Services
DBA Doing business as
Authorized official Clark, Faith MSW, LICSW, LADC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2013
Last updated Jan 31st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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