| Diverse Mental Health Response | |
|
1400 Queen Ave N Minneapolis MN 55411-2926 | |
| (651) 425-1614 | |
| Not Available |
| Full Name | Diverse Mental Health Response |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1400 Queen Ave N, Minneapolis, Minnesota |
| Authorized Official Name and Position | Xeng Y Pha (OWNER) |
| Authorized Official Contact | 6514251614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diverse Mental Health Response 9216 White Oaks Trl Champlin MN 55316-2675 Ph: () - | Diverse Mental Health Response 1400 Queen Ave N Minneapolis MN 55411-2926 Ph: (651) 425-1614 |
| NPI Number | 1477330330 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477330330 | NPI | - | NPPES |
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