| Minnesota Hope Dealerz Service Corporation | |
|
1314 Marquette Ave Apt 2408 Minneapolis MN 55403-4133 | |
| (763) 290-2736 | |
| Not Available |
| Full Name | Minnesota Hope Dealerz Service Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1314 Marquette Ave Apt 2408, Minneapolis, Minnesota |
| Authorized Official Name and Position | Jeffrey S Powell (FOUNDER/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7632902736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Hope Dealerz Service Corporation 1314 Marquette Ave Apt 2408 Minneapolis MN 55403-4133 Ph: (763) 290-2736 | Minnesota Hope Dealerz Service Corporation 1314 Marquette Ave Apt 2408 Minneapolis MN 55403-4133 Ph: (763) 290-2736 |
| NPI Number | 1225715998 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225715998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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