Organization
HYBRID BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN LIEBERMAN (PROGRAM DIRECTOR)
(847) 721-5639
Entity
Organization
Contact information
Practice address
618 ADAMS ST NE # 1, MINNEAPOLIS, MN 55413-2144
(847) 721-5639
Mailing address
618 ADAMS ST NE # 1, MINNEAPOLIS, MN 55413-2144
(847) 721-5639
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
09/26/2024
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