| The Center For Provider Well-being | |
|
2925 Chicago Ave Ste 130 Minneapolis MN 55407-1321 | |
| (612) 262-7476 | |
| Not Available |
| Full Name | The Center For Provider Well-being |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2925 Chicago Ave Ste 130, Minneapolis, Minnesota |
| Authorized Official Name and Position | Dominica Tallarico (COO) |
| Authorized Official Contact | 6122222222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Provider Well-being Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | The Center For Provider Well-being 2925 Chicago Ave Ste 130 Minneapolis MN 55407-1321 Ph: (612) 262-7476 |
| NPI Number | 1811741465 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811741465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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