Organization
RISING IMPACT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ATIF IHSAN (PROGRAM MANAGER)
(612) 255-3523
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 178, SAINT PAUL, MN 55104-2803
(612) 255-2534
Mailing address
419 CEDAR AVE S STE 257, MINNEAPOLIS, MN 55454-1032
(612) 255-3523
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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