Organization
RISING IMPACT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATIF IHSAN (PROGRAM MANAGER)
(701) 729-6691
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 178, SAINT PAUL, MN 55104-2803
(701) 729-6691
Mailing address
1821 UNIVERSITY AVE W STE 178, SAINT PAUL, MN 55104-2803
(701) 729-6691
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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