KWST Targeted Behavioral Development Group

Case Manager/Care Coordinator · Minneapolis, MN

Organization Active NPI

NPI number 1376151977

Practice location

333 Washington Ave N Ste 323
Minneapolis, MN 55401-1366
Phone
(612) 518-6009

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NPI record

NPI
1376151977
Entity type
Organization (Type 2)
Enumeration date
July 20, 2020
Last updated
December 8, 2022
Certified
December 8, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Behavior Technician 106S00000X — —
Community Health Worker 172V00000X — —
Student Health Clinic/Center 261QS1000X — —

Authorized official

Name
Keary Wayne Saffold, MED
Title
President
Phone
(612) 518-6009

About KWST Targeted Behavioral Development Group

KWST Targeted Behavioral Development Group is a healthcare organization registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 333 Washington Ave N Ste 323, Minneapolis, MN 55401-1366. The NPI number 1376151977 was assigned on July 20, 2020 and the record was last updated on December 8, 2022.

The authorized official for this organization is Keary Wayne Saffold, MED, President.

Frequently asked questions

What is the NPI number of KWST Targeted Behavioral Development Group?

The NPI number is 1376151977.

What is the phone number of KWST Targeted Behavioral Development Group?

The phone number listed for the practice location is (612) 518-6009.

Where is KWST Targeted Behavioral Development Group located?

333 Washington Ave N Ste 323, Minneapolis, MN 55401-1366.

What is the taxonomy code for KWST Targeted Behavioral Development Group?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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