Organization
SUPPORTIVE HOUSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GADA WAKO (DIRECTOR)
(612) 800-1897
Entity
Organization
Contact information
Practice address
2301 JAMES AVE N, MINNEAPOLIS, MN 55411-1932
(612) 800-1897
Mailing address
2301 JAMES AVE N, MINNEAPOLIS, MN 55411-1932
(612) 800-1897
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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