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Organization

ALLINA HEALTH SYSTEM

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

Provider details

NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary

Other

Enumeration date
09/13/2018
Last updated
01/14/2025
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