Organization
PRIMUS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAIWO REMILEKUN OBAZELUWA-AFOLAYAN RN (CLINICAL ADMINISTRATOR)
(763) 732-3729
Entity
Organization
Contact information
Practice address
7309 KENTUCKY AVE N, BROOKLYN PARK, MN 55428-1222
(763) 269-9241
Mailing address
7309 KENTUCKY AVE N, BROOKLYN PARK, MN 55428-1222
(763) 732-3729
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
377540
MN
Other
Enumeration date
09/10/2016
Last updated
01/25/2017
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