| Hghc Direct | |
|
4224 W 141st Minneapolis MN 55420-0223 | |
| (612) 806-7460 | |
| Not Available |
| Full Name | Hghc Direct |
|---|---|
| Speciality | Peer Specialist |
| Location | 4224 W 141st, Minneapolis, Minnesota |
| Authorized Official Name and Position | Jamal Mohamed Abdi (PEER SPECIALIST) |
| Authorized Official Contact | 6128067460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hghc Direct Po Box 20223 Minneapolis MN 55420-0223 Ph: (612) 806-7460 | Hghc Direct 4224 W 141st Minneapolis MN 55420-0223 Ph: (612) 806-7460 |
| NPI Number | 1568293793 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568293793 | NPI | - | NPPES |
| 1545-0029 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
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