| Community Service Partners | |
|
19198 Hilldale Ave Lakeville MN 55044-7955 | |
| (763) 528-3908 | |
| Not Available |
| Full Name | Community Service Partners |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19198 Hilldale Ave, Lakeville, Minnesota |
| Authorized Official Name and Position | Bahjo A Dirie (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7635283908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Service Partners 19198 Hilldale Ave Lakeville MN 55044-7955 Ph: (763) 528-3908 | Community Service Partners 19198 Hilldale Ave Lakeville MN 55044-7955 Ph: (763) 528-3908 |
| NPI Number | 1992467773 |
|---|---|
| Provider Enumeration Date | 10/09/2021 |
| Last Update Date | 10/09/2021 |
| Certification Date | 10/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992467773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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