Organization
CENTRO CULTURAL CHICANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE GUZMAN (EXECUTIVE DIRECTOR)
(612) 874-1412
Entity
Organization
Contact information
Practice address
1915 CHICAGO AVE, MINNEAPOLIS, MN 55404-1904
(612) 874-1412
(612) 874-8149
Mailing address
1915 CHICAGO AVE, MINNEAPOLIS, MN 55404-1904
(612) 874-1412
(612) 874-8149
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
MN
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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