Organization
KENTE CIRCLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM TUCKER (BUSINESS MANAGER)
(612) 843-5580
Entity
Organization
Contact information
Practice address
345 E 38TH ST, MINNEAPOLIS, MN 55409-1363
(612) 243-1600
Mailing address
345 E 38TH ST, MINNEAPOLIS, MN 55409-1363
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
383108753
MN
Other
Enumeration date
01/11/2007
Last updated
03/28/2017
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