Organization
COMMUNITY OUTREACH FOR PSYCHIATRIC EMERGENCIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE LEVESQUE LICSW (CLINICAL SUPERVISOR)
(612) 348-2574
Entity
Organization
Contact information
Practice address
525 PORTLAND AVE, MINNEAPOLIS, MN 55415-1533
(612) 596-1223
(612) 677-6248
Mailing address
525 PORTLAND AVE, MINNEAPOLIS, MN 55415-1533
(612) 596-1223
(612) 677-6248
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
21327
MN
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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