| 11mn | |
|
720 3rd Ave Ne Ste 109 Minneapolis MN 55413-2300 | |
| (360) 237-2616 | |
| (360) 237-2616 |
| Full Name | 11mn |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 720 3rd Ave Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Felix Raymond Montez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3602372616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 11mn 720 3rd Ave Ne Ste 109 Minneapolis MN 55413-2300 Ph: (360) 237-2616 | 11mn 720 3rd Ave Ne Ste 109 Minneapolis MN 55413-2300 Ph: (360) 237-2616 |
| NPI Number | 1154601474 |
|---|---|
| Provider Enumeration Date | 08/17/2011 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154601474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 302775 (Minnesota) | Primary |
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