| Tasks Unlimited Training Center | |
|
4029 Utica Ave S St Louis Park MN 55416-2904 | |
| (952) 928-9390 | |
| Not Available |
| Full Name | Tasks Unlimited Training Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4029 Utica Ave S, St Louis Park, Minnesota |
| Authorized Official Name and Position | Trevor B Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6128713320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasks Unlimited Training Center 2419 Nicollet Ave Minneapolis MN 55404-3450 Ph: (612) 871-3320 | Tasks Unlimited Training Center 4029 Utica Ave S St Louis Park MN 55416-2904 Ph: (952) 928-9390 |
| NPI Number | 1679612337 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679612337 | NPI | - | NPPES |
| 802463-1-RMI | Other | MN | DHS LICENSE # |
| PENDING | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 802463-1-RMI (Minnesota) | Primary |
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