Organization
MINNESOTA COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVY MAIRURA (EXECUTIVE DIRECTOR)
(952) 583-3264
Entity
Organization
Contact information
Practice address
910 1ST ST S UNIT 782, HOPKINS, MN 55343-7797
(952) 583-3264
(952) 236-6675
Mailing address
PO BOX 782, HOPKINS, MN 55343-0782
(952) 236-6675
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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