Organization
REBECCA'S PLACE WELLNESS PLLC
Active
Other names
RP Wellness MN
Organization subpart
No
Provider details
NPI number
Authorized official
NAKAMI GREEN MA (EXECUTIVE DIRECTOR)
(651) 395-9352
Entity
Organization
Contact information
Practice address
22 27TH AVE SE UNIT 317, MINNEAPOLIS, MN 55414-4237
(651) 395-9352
Mailing address
22 27TH AVE SE UNIT 317, MINNEAPOLIS, MN 55414-4237
(651) 395-9352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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