Organization
FRUIT OF THE SPIRIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA SAWIE (COORDINATOR)
(612) 267-6570
Entity
Organization
Contact information
Practice address
1117 PEARSON PKWY, MINNEAPOLIS, MN 55444-1755
(678) 313-8545
Mailing address
1917 LARAMIE TRL, MINNEAPOLIS, MN 55444-1904
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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