| Transformation House Inc | |
|
1410 S Ferry Rd Anoka MN 55303-2164 | |
| (763) 427-7155 | |
| (763) 427-6084 |
| Full Name | Transformation House Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1410 S Ferry Rd, Anoka, Minnesota |
| Authorized Official Name and Position | Cristian Chiesa (CEO) |
| Authorized Official Contact | 7634527011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation House Inc 1410 S Ferry Rd Anoka MN 55303-2164 Ph: (763) 427-7155 | Transformation House Inc 1410 S Ferry Rd Anoka MN 55303-2164 Ph: (763) 427-7155 |
| NPI Number | 1417768771 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417768771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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