Organization
RAINBOW HEALTH MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SUSAN CLARK (CFO)
(612) 373-2407
Entity
Organization
Contact information
Practice address
2577 TERRITORIAL RD, SAINT PAUL, MN 55114
(612) 341-2060
Mailing address
2577 TERRITORIAL RD, SAINT PAUL, MN 55114-1500
(612) 341-2060
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
05/03/2021
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