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Organization
REBECCA'S PLACE WELLNESS PLLC
Active
Organization
REBECCA'S PLACE WELLNESS PLLC
Active
Other names
RP Wellness MN
Organization subpart
No
Provider details
NPI number
Authorized official
NAKAMI GREEN MA (EXECUTIVE DIRECTOR)
(651) 395-9352
Entity
Organization
Contact information
Practice address
22 27TH AVE SE UNIT 317, MINNEAPOLIS, MN 55414-4237
(651) 395-9352
Mailing address
22 27TH AVE SE UNIT 317, MINNEAPOLIS, MN 55414-4237
(651) 395-9352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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