Watch International For The Security Of Humanity (the Wish Center) | |
6248 Lakeland Ave N Ste 210 Minneapolis MN 55428-2989 | |
(763) 447-1063 | |
(763) 592-8099 |
Full Name | Watch International For The Security Of Humanity (the Wish Center) |
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Speciality | Case Management |
Location | 6248 Lakeland Ave N Ste 210, Minneapolis, Minnesota |
Authorized Official Name and Position | Edmond Remie Gray (PRESIDENT) |
Authorized Official Contact | 7634471063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Watch International For The Security Of Humanity (the Wish Center) 6248 Lakeland Ave N Ste 210 Minneapolis MN 55428-2989 Ph: (763) 447-1063 | Watch International For The Security Of Humanity (the Wish Center) 6248 Lakeland Ave N Ste 210 Minneapolis MN 55428-2989 Ph: (763) 447-1063 |
NPI Number | 1417771551 |
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Provider Enumeration Date | 11/14/2024 |
Last Update Date | 12/02/2024 |
Certification Date | 12/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417771551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251B00000X | Case Management | (* (Not Available)) | Primary |
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