Organization
DOMESTIC ABUSE PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIRTHINI KEEFE (DIRECTOR OF CLIENT SERVICES)
(763) 639-6833
Entity
Organization
Contact information
Practice address
1121 JACKSON ST NE STE 105, MINNEAPOLIS, MN 55413-1665
(612) 874-7063
Mailing address
1121 JACKSON ST NE STE 105, MINNEAPOLIS, MN 55413-1665
(612) 874-7063
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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