| African American Child Wellness Institute | |
|
9800 Shelard Pkwy Ste 325 Plymouth MN 55441-6453 | |
| (763) 522-0100 | |
| (763) 588-0100 |
| Full Name | African American Child Wellness Institute |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9800 Shelard Pkwy Ste 325, Plymouth, Minnesota |
| Authorized Official Name and Position | Bravada Garrett-akinsanya (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7635220100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| African American Child Wellness Institute 9800 Shelard Pkwy Ste 325 Plymouth MN 55441-6453 Ph: (763) 522-0100 | African American Child Wellness Institute 9800 Shelard Pkwy Ste 325 Plymouth MN 55441-6453 Ph: (763) 522-0100 |
| NPI Number | 1487145546 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487145546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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