Organization
HOLISTIC AWARNESS PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC YIEMOH HARRIS THERAPIST (MENTAL HEALTH PROFESSIONAL)
(320) 237-5626
Entity
Organization
Contact information
Practice address
7420 UNITY AVE N STE 212, BROOKLYN PARK, MN 55443-3136
(320) 237-5626
Mailing address
3616 78TH AVE N, BROOKLYN PARK, MN 55443-2827
(320) 237-5626
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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