Organization
COMMUNITY PARTNERSHIP COLLABORATIVE 2.0
Active
Other names
Community Partnership Collaborative 2.0
Organization subpart
No
Provider details
NPI number
Authorized official
SHANASHA WHITSON LICENSED SOCIAL WORK (EXECUTIVE DIRECTOR)
(612) 483-0199
Entity
Organization
Contact information
Practice address
3210 OLIVER AVE N, MINNEAPOLIS, MN 55412-2316
(612) 483-0199
(612) 200-8655
Mailing address
7800 66TH AVE N, BROOKLYN PARK, MN 55428-2204
(612) 483-0199
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24770
SOCIAL WORK
MN
Enumeration date
02/15/2018
Last updated
07/27/2021
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