Organization
MODEL CITIES OF ST. PAUL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLEY OLIVER HAWKINS (CHIEF EXECUTIVE OFFICER)
(651) 632-8343
Entity
Organization
Contact information
Practice address
839 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4808
(651) 632-8350
(651) 523-0081
Mailing address
839 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4808
(651) 632-8350
(651) 523-0081
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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