| Lifechoice Llc | |
|
5701 Shingle Creek Pkwy Suite 650 Brooklyn Center MN 55430-2467 | |
| (612) 405-5512 | |
| Not Available |
| Full Name | Lifechoice Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5701 Shingle Creek Pkwy, Brooklyn Center, Minnesota |
| Authorized Official Name and Position | Adassa Opusunju (OWNER) |
| Authorized Official Contact | 7634582133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifechoice Llc 5701 Shingle Creek Pkwy Suite 650 Brooklyn Center MN 55430-2467 Ph: (612) 405-5512 | Lifechoice Llc 5701 Shingle Creek Pkwy Suite 650 Brooklyn Center MN 55430-2467 Ph: (612) 405-5512 |
| NPI Number | 1487190062 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487190062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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