Organization
TRANSFORMING RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIP WAHLQUIST (PRESIDENT)
(952) 884-5803
Entity
Organization
Contact information
Practice address
10800 LYNDALE AVE S, SUITE #191, BLOOMINGTON, MN 55420-5614
(952) 884-5803
Mailing address
10800 LYNDALE AVE S, SUITE #191, BLOOMINGTON, MN 55420-5614
(952) 884-5803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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