Organization
NEAH COOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TETE H NSOUGAN (EMPLOYEE)
(651) 528-9596
Entity
Organization
Contact information
Practice address
10023 PIN OAK CT N, BROOKLYN PARK, MN 55443-1772
(612) 440-3110
Mailing address
10023 PIN OAK CT N, BROOKLYN PARK, MN 55443-1772
(612) 440-3110
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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