| Harbor Of Hope Llc | |
|
929 Portland Ave Apt 1807 Minneapolis MN 55404-1268 | |
| (571) 477-7725 | |
| Not Available |
| Full Name | Harbor Of Hope Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 929 Portland Ave Apt 1807, Minneapolis, Minnesota |
| Authorized Official Name and Position | Hietham Zemam (DIRECTOR) |
| Authorized Official Contact | 5714777725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Of Hope Llc 929 Portland Ave Apt 1807 Minneapolis MN 55404-1268 Ph: (571) 477-7725 | Harbor Of Hope Llc 929 Portland Ave Apt 1807 Minneapolis MN 55404-1268 Ph: (571) 477-7725 |
| NPI Number | 1750158556 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750158556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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