Organization
CENTER FOR VICTIMS OF TORTURE - BETHESDA
Active
Parent organization
CENTER FOR VICTIMS OF TORTURE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR VICTIMS OF TORTURE
Authorized official
MS. GENA HOLLAND (CFO)
(612) 436-4869
Entity
Organization
Contact information
Practice address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
Mailing address
2356 UNIVERSITY AVE W, SUITE 430, SAINT PAUL, MN 55114-1853
(612) 436-4860
(612) 436-2606
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120700
UCARE
MN
Enumeration date
09/22/2014
Last updated
09/22/2014
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