Organization
NEW SALEM MISSIONARY BAPTIST CHURCH
Active
Parent organization
NEW SALEM MISSIONARY BAPTIST CHURCH
Other names
New Youth ReDevelopment
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW SALEM MISSIONARY BAPTIST CHURCH
Authorized official
CHASMA DIXON (BILLING MANAGER)
(612) 522-2951
Entity
Organization
Contact information
Practice address
2507 BRYANT AVE N, MINNEAPOLIS, MN 55411-2116
(612) 522-2951
(612) 529-9416
Mailing address
2507 BRYANT AVE N, MINNEAPOLIS, MN 55411-2116
(612) 522-2951
(612) 529-9416
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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