Organization
11MN
Active
Other names
Eleventh Hour
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIX RAYMOND MONTEZ PH.D. (EXECUTIVE DIRECTOR)
(360) 237-2616
Entity
Organization
Contact information
Practice address
720 3RD AVE NE, STE 109, MINNEAPOLIS, MN 55413-2300
(360) 237-2616
(360) 237-2616
Mailing address
720 3RD AVE NE, STE 109, MINNEAPOLIS, MN 55413-2300
(360) 237-2616
(360) 237-2616
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
302775
MN
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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