Organization
CENTERPOINTE BEHAVIORAL HEALTH MINNEAPOLIS LLC
Active
Other names
CenterPointe Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
IRSHAD KHAN (BUSINESS DEVELOPMENT)
(314) 393-3954
Entity
Organization
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 314N, SAINT PAUL, MN 55114-1052
(888) 524-9196
Mailing address
763 S NEW BALLAS RD, SUITE 300, SAINT LOUIS, MO 63141-8704
(314) 393-3954
(636) 447-6001
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
NOT REQUIRED
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
NOT REQUIRED
MN
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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