Organization
MENTAL HEALTH NINJAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACQUES ROBERT CHAMPINE (CEO & PARTNER)
(507) 230-3300
Entity
Organization
Contact information
Practice address
1550 E 78TH ST, MINNEAPOLIS, MN 55423-4638
(651) 321-8487
Mailing address
1550 E 78TH ST, MINNEAPOLIS, MN 55423-4638
(651) 321-8487
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
03/20/2016
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