Organization
HENNEPIN COUNTY
Active
Other names
Branch III - Adult Opportunity Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ABEL (AREA MANAGER)
(612) 348-8824
Entity
Organization
Contact information
Practice address
740 EAST 17TH STREET, MINNEAPOLIS, MN 55404-1601
(612) 348-5553
(612) 677-6299
Mailing address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 348-5553
(612) 677-6299
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/19/2018
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