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Organization

JEWISH FAMILY & CHILDREN'S SERVICE OF MINNEAPOLIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL BELICH (CFO)
(952) 546-0616
Entity
Organization

Contact information

Practice address
5905 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4463
(952) 546-0616
(952) 593-1778
Mailing address
5905 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4463
(952) 546-0616
(952) 593-1778

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3785
MN
101YM0800X
Mental Health Counselor
Primary
C01878
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
575253100
MEDICAL ASSISTANCE
MN
05
600908500
MN
Enumeration date
12/05/2006
Last updated
05/16/2023
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