Organization
BEGIN ANEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALEXANDER HOFFMAN (EXECUTIVE DIRECTOR)
(763) 252-6570
Entity
Organization
Contact information
Practice address
7533 SUNWOOD DR NW STE 208, RAMSEY, MN 55303-5299
(763) 245-7562
Mailing address
7533 SUNWOOD DR NW STE 208, RAMSEY, MN 55303-5299
(763) 245-7562
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
12/23/2021
Last updated
12/27/2021
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