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Organization

HENNEPIN COUNTY

Active
Other names
Youth Link
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE ABEL (AREA MANAGER)
(612) 348-8824
Entity
Organization

Contact information

Practice address
41 N 12TH ST., MINNEAPOLIS, MN 55403-1325
(612) 348-5553
(612) 677-6299
Mailing address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 348-5553
(612) 677-6299

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
12/17/2018
Last updated
12/19/2018
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