NPI:
1821422544
Provider Name:
CROWN IMPERIAL PRESS, LLC
Doing Business As: STEVEN R. WIESE, M.S., M.DIV, LICENSED PSYCHOLOGIST
Classification:
Clinic/Center - 261QM0801X
Entity Type:
Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
1935 COUNTY ROAD B2 W
SUITE #102
SAINT PAUL, MN
ZIP 55113
Phone:
(651) 785-3920
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CROWN IMPERIAL PRESS, LLC is a mental health (including community mental health center) clinic center in Saint Paul, MN. CROWN IMPERIAL PRESS, LLC NPI is 1821422544. The provider is registered as an organization entity type.
The provider Is Doing Business As Steven R. Wiese, M.s., M.div, Licensed Psychologist.
The provider's business location address is:
1935 COUNTY ROAD B2 W
SUITE #102
SAINT PAUL, MN
ZIP 55113-729
Phone: (651) 785-3920
The provider's authorized official is Steven Roger Wiese .
The authorized official title is Director and has the following contact phone number (651) 785-3920.
The enumeration date for this NPI number is 8/29/2013 and was last updated on 8/29/2013.