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800 E 28th St Minneapolis MN 55407-3723 | |
| (612) 863-4000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 800 E 28th St, Minneapolis, Minnesota |
| Authorized Official Name and Position | David Joos (PRESIDENT) |
| Authorized Official Contact | 6122624509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 43 Mr 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | 800 E 28th St Minneapolis MN 55407-3723 Ph: (612) 863-4000 |
| NPI Number | 1750346243 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750346243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Secondary |
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