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Organization

COURAGE CENTER

Active
Parent organization
COURAGE CENTER
Other names
Courage Center ABLE Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
COURAGE CENTER
Authorized official
ALICE JOHNSON (CHIEF FINANCIAL OFFICER)
(763) 520-0206
Entity
Organization

Contact information

Practice address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(763) 588-0811
Mailing address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(763) 588-0811

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/10/2012
Last updated
10/10/2012
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