| Tutapona Inc | |
|
1935 County Road B2 W Ste 270 Roseville MN 55113-2785 | |
| (715) 222-6028 | |
| Not Available |
| Full Name | Tutapona Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1935 County Road B2 W Ste 270, Roseville, Minnesota |
| Authorized Official Name and Position | Carl Gaede (CEO) |
| Authorized Official Contact | 7152226028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tutapona Inc Po Box 214 New Richmond WI 54017-0214 Ph: (715) 222-6028 | Tutapona Inc 1935 County Road B2 W Ste 270 Roseville MN 55113-2785 Ph: (715) 222-6028 |
| NPI Number | 1942863378 |
|---|---|
| Provider Enumeration Date | 04/22/2019 |
| Last Update Date | 04/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942863378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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