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Organization

VITALITY FAMILY MENTAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALBERT NORMAN BROWN JR. M.A, MFT, LADC (OWNER)
(612) 481-3262
Entity
Organization

Contact information

Practice address
4149 LYNDALE AVE N, MINNEAPOLIS, MN 55412-1703
(612) 481-3262
Mailing address
3545 PORTLAND AVE, MINNEAPOLIS, MN 55407-2025
(612) 481-3262

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
11/24/2016
Last updated
11/24/2016
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