Organization
TUBMAN
Active
Other names
Tubman Family Alliance & Chrysalis A Center for Women Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY DUSSO (EXECUTIVE DIRECTOR)
(612) 767-6690
Entity
Organization
Contact information
Practice address
4432 CHICAGO AVENUE SOUTH, MINNEAPOLIS, MN 55407
(612) 870-2444
(612) 870-2428
Mailing address
4432 CHICAGO AVENUE SOUTH, MINNEAPOLIS, MN 55407
(612) 870-2444
(612) 870-2428
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
8004872MHC
MN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257080700
—
MN
Enumeration date
08/31/2006
Last updated
11/04/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us