Organization
MICHAEL T BROOKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BROOKS (CEO)
(612) 272-5718
Entity
Organization
Contact information
Practice address
2100 EMERSON AVE N, MINNEAPOLIS, MN 55411-2512
(612) 272-5718
Mailing address
6937 W PALMER LAKE DR, BROOKLYN CENTER, MN 55429-4201
(612) 272-5718
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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