Organization
ANISHINAABE ENDAAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM FAIRBANKS (CEO)
(763) 464-4137
Entity
Organization
Contact information
Practice address
3027 QUEEN AVE N, MINNEAPOLIS, MN 55411-1060
(763) 464-4137
Mailing address
3529 ZENITH AVE N, ROBBINSDALE, MN 55422-2347
(763) 464-4137
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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