Organization
AGATE HOUSING AND SERVICES INC.
Active
Organization
AGATE HOUSING AND SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE D HANSON (EXECUTIVE DIRECTOR)
(612) 874-0311
Entity
Organization
Contact information
Practice address
2309 NICOLLET AVE, MINNEAPOLIS, MN 55404-3315
(612) 730-3092
Mailing address
2309 NICOLLET AVE, MINNEAPOLIS, MN 55404-3315
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
06/05/2023
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