Organization
KATHLEEN HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MATTHEWS LICSW (OWNER)
(612) 978-3209
Entity
Organization
Contact information
Practice address
2647 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-1187
(612) 345-7823
Mailing address
2647 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-1187
(612) 345-7823
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026933700023
—
MN
Enumeration date
08/06/2018
Last updated
08/06/2018
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