| Institute For Minority Dev | |
|
3608 78th Ave No Brooklyn Park MN 55443 | |
| (763) 566-4251 | |
| (763) 566-3049 |
| Full Name | Institute For Minority Dev |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3608 78th Ave No, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Ella Mae Gross (EX DIRECTOR) |
| Authorized Official Contact | 7635664251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Minority Dev 3608 78th Ave No Brooklyn Park MN 55443 Ph: (763) 566-4251 | Institute For Minority Dev 3608 78th Ave No Brooklyn Park MN 55443 Ph: (763) 566-4251 |
| NPI Number | 1508909730 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508909730 | NPI | - | NPPES |
| 127812600 | Medicaid | MN |
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