| West Bank Mental Health | |
|
408 Cedar Ave S Ste 5 Minneapolis MN 55454-1120 | |
| (612) 226-5865 | |
| Not Available |
| Full Name | West Bank Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 408 Cedar Ave S Ste 5, Minneapolis, Minnesota |
| Authorized Official Name and Position | Ali-falastin Jama (PRESIDENT) |
| Authorized Official Contact | 6122265865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Bank Mental Health 408 Cedar Ave S Ste 5 Minneapolis MN 55454-1120 Ph: (612) 226-5865 | West Bank Mental Health 408 Cedar Ave S Ste 5 Minneapolis MN 55454-1120 Ph: (612) 226-5865 |
| NPI Number | 1114684339 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114684339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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