Organization
INNER PEACEPATHWAY MN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI HAGER (OWNER)
(320) 223-1385
Entity
Organization
Contact information
Practice address
146 63RD WAY NE, FRIDLEY, MN 55432-4814
(612) 224-0479
Mailing address
146 63RD WAY NE, FRIDLEY, MN 55432-4814
(612) 224-0479
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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