# ALLINA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allina Health Addiction and Psychotherapy-Mercy Hospital-Unity Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083197214
- **Authorized official:** DOMINICA TALLARICO (COO)
- **Authorized official phone:** (612) 222-2222

## Contact information

- **Practice address:** 520 OSBORNE RD NE, STE 120, FRIDLEY, MN 55432-2718
- **Practice address phone:** (763) 236-4300
- **Mailing address:** PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
- **Mailing address phone:** (612) 262-1166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2018
- **Last updated:** 01/14/2025