| Hopebridge Life Skills Center | |
|
3617 E Lake St Minneapolis MN 55406-2148 | |
| (763) 283-7072 | |
| Not Available |
| Full Name | Hopebridge Life Skills Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3617 E Lake St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Abdirahman Farah Gelle (CEO) |
| Authorized Official Contact | 7632837072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopebridge Life Skills Center 3617 E Lake St Minneapolis MN 55406-2148 Ph: (763) 283-7072 | Hopebridge Life Skills Center 3617 E Lake St Minneapolis MN 55406-2148 Ph: (763) 283-7072 |
| NPI Number | 1205433984 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205433984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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