Organization
WEST BANK MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI-FALASTIN JAMA (PRESIDENT)
(612) 226-5865
Entity
Organization
Contact information
Practice address
408 CEDAR AVE S STE 5, MINNEAPOLIS, MN 55454-1120
(612) 226-5865
Mailing address
408 CEDAR AVE S STE 5, MINNEAPOLIS, MN 55454-1120
(612) 226-5865
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
12/02/2021
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