| Uprise Spectrum Care | |
|
1702 Nicollet Ave Apt 424 Minneapolis MN 55403-2872 | |
| (612) 791-9310 | |
| Not Available |
| Full Name | Uprise Spectrum Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1702 Nicollet Ave Apt 424, Minneapolis, Minnesota |
| Authorized Official Name and Position | Jafar Ismail (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 6127919310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uprise Spectrum Care 1702 Nicollet Ave Apt 424 Minneapolis MN 55403-2872 Ph: (612) 791-9310 | Uprise Spectrum Care 1702 Nicollet Ave Apt 424 Minneapolis MN 55403-2872 Ph: (612) 791-9310 |
| NPI Number | 1205649365 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205649365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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