Organization
BASIC NEEDS
Active
Other names
The National Family Council
Organization subpart
No
Provider details
NPI number
Authorized official
CHERLEIGH ANN CARPENTER MHP (ADMINISTRATOR)
(612) 998-6300
Entity
Organization
Contact information
Practice address
3333 N 4TH ST STE 25, MINNEAPOLIS, MN 55412-2615
(612) 767-8671
(612) 827-1215
Mailing address
3333 N 4TH ST STE 25, MINNEAPOLIS, MN 55412-2615
(612) 767-8671
(612) 827-1215
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1009291
MN
Other
Enumeration date
03/30/2017
Last updated
03/04/2018
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