| Diverse Health And Social Services Llc | |
|
9216 White Oaks Trl Champlin MN 55316-2675 | |
| (651) 425-1614 | |
| Not Available |
| Full Name | Diverse Health And Social Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9216 White Oaks Trl, Champlin, Minnesota |
| Authorized Official Name and Position | Xeng Ying Pha (CO-OWNER) |
| Authorized Official Contact | 6514251614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diverse Health And Social Services Llc 9216 White Oaks Trl Champlin MN 55316-2675 Ph: (651) 425-1614 | Diverse Health And Social Services Llc 9216 White Oaks Trl Champlin MN 55316-2675 Ph: (651) 425-1614 |
| NPI Number | 1770322083 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770322083 | NPI | - | NPPES |
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