Whalio Doctors

NPI 1003172909

Horizons Community Church

Organisation Community/Behavioral Health Agency Ham Lake, MN

Practice location

Address
1503 157th Ave NE, Ham Lake, MN 55304-5658
Phone
(763) 413-8142
Fax
(763) 445-2015

Authorised official

Name
Judith Rose Miller
Title
Director/Licensed Psychologist
Phone
(763) 413-8142

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X

Registry record

NPI
1003172909
Entity type
Organization
NPI issued
4 Apr 2012
Record last updated
4 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.