| Passport Mental Health Journey | |
|
1380 84th Ln N Brooklyn Park MN 55444-1443 | |
| (763) 308-5080 | |
| Not Available |
| Full Name | Passport Mental Health Journey |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1380 84th Ln N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Olubola Omolara Salabiu (DNP, APRN, PMHNP-BC) |
| Authorized Official Contact | 7633085080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passport Mental Health Journey 1380 84th Ln N Brooklyn Park MN 55444-1443 Ph: (763) 308-3080 | Passport Mental Health Journey 1380 84th Ln N Brooklyn Park MN 55444-1443 Ph: (763) 308-5080 |
| NPI Number | 1922860303 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922860303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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