Organization
POWER OF STORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA R MATHESON (EXECUTIVE DIRECTOR)
(763) 807-4898
Entity
Organization
Contact information
Practice address
110 E 31ST ST # 8377, MINNEAPOLIS, MN 55408-4785
(763) 807-4898
Mailing address
110 E 31ST ST # 8377, MINNEAPOLIS, MN 55408-4785
(763) 807-4898
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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