Organization
MENAGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH RENE TCHOUICHOUI TONOU (PROGRAM DIRECTOR)
(952) 451-4280
Entity
Organization
Contact information
Practice address
6802 158TH ST W, APPLE VALLEY, MN 55124-6578
(952) 451-4280
Mailing address
6802 158TH ST W, APPLE VALLEY, MN 55124-6578
(952) 451-4280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1086828-1-HCBS
MN
Other
Enumeration date
05/20/2017
Last updated
07/21/2022
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