Organization
TWIN CITIES IMPACT
Active
Other names
Twin Cities IMPACT
Organization subpart
No
Provider details
NPI number
Authorized official
TRILA NAOMIE MALONE OWNER (PRESIDENT)
(651) 329-0733
Entity
Organization
Contact information
Practice address
11208 HANSON BLVD NW UNIT 215, COON RAPIDS, MN 55433-3731
(651) 329-0733
Mailing address
11208 HANSON BLVD NW UNIT 215, COON RAPIDS, MN 55433-3731
(651) 329-0733
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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