Organization
PARK BEHAVIORAL HEALTH & ADDICTION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN OSONOWO (OWNER)
(612) 702-7412
Entity
Organization
Contact information
Practice address
2200 PARK AVE, MINNEAPOLIS, MN 55404-3710
(612) 702-7412
Mailing address
5724 BASS LAKE RD, CRYSTAL, MN 55429-2747
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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