Organization
MISSIONS INC. PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STAFFORD COCHRAN (FINANCE DIRECTOR)
(763) 334-7904
Entity
Organization
Contact information
Practice address
2759 LOUISIANA CT S APT 8, ST LOUIS PARK, MN 55426-3117
(952) 926-2600
Mailing address
3409 E MEDICINE LAKE BLVD, PLYMOUTH, MN 55441-2395
(763) 559-1883
(763) 559-1195
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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