| Champion Mental Health & Drug Addiction Services | |
|
7320 74th Way N Minneapolis MN 55428-1254 | |
| (612) 599-2901 | |
| Not Available |
| Full Name | Champion Mental Health & Drug Addiction Services |
|---|---|
| Speciality | Social Worker |
| Location | 7320 74th Way N, Minneapolis, Minnesota |
| Authorized Official Name and Position | Kia Cashman (CO OWNER) |
| Authorized Official Contact | 6122500209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Mental Health & Drug Addiction Services 7320 74th Way N Minneapolis MN 55428-1254 Ph: () - | Champion Mental Health & Drug Addiction Services 7320 74th Way N Minneapolis MN 55428-1254 Ph: (612) 599-2901 |
| NPI Number | 1386383354 |
|---|---|
| Provider Enumeration Date | 05/30/2022 |
| Last Update Date | 05/30/2022 |
| Certification Date | 05/25/2022 |
| Medicare PECOS PAC ID | 7618344193 |
|---|---|
| Medicare Enrollment ID | O20230207000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386383354 | NPI | - | NPPES |
| Provider Name | Kia C Cashman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023340734 PECOS PAC ID: 5991835829 Enrollment ID: I20100618000713 |
| Provider Name | Michael A Arieta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245516327 PECOS PAC ID: 2668833146 Enrollment ID: I20230731003673 |
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