Organization
TRANQUILITY MINNESOTA
Active
Other names
BetterHealth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL SUMO MIANTONA (PROGRAM DIRECTOR)
(612) 404-9640
Entity
Organization
Contact information
Practice address
6385 OLD SHADY OAK RD STE 250, EDEN PRAIRIE, MN 55344-7705
(612) 404-9640
(612) 238-0100
Mailing address
6385 OLD SHADY OAK RD STE 250, C/O BETTERHEALTH, EDEN PRAIRIE, MN 55344-7705
(612) 404-9640
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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