Organization
AMPLE GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UHUNOMA OSADOLOR PMHNP (PMHNP)
(763) 600-4881
Entity
Organization
Contact information
Practice address
1710 DOUGLAS DR N STE 204, GOLDEN VALLEY, MN 55422-4387
(612) 433-2936
Mailing address
1710 DOUGLAS DR N STE 204, GOLDEN VALLEY, MN 55422-4387
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/26/2021
Last updated
03/31/2025
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