NPI 1104369016

Vitality Family Mental Health, LLC

Organisation Health Maintenance Organization Minneapolis, MN

Practice location

Address: 4149 Lyndale Ave N, Minneapolis, MN 55412-1703
Phone: (612) 481-3262
Mailing address: 3545 Portland Ave, Minneapolis, MN 55407-2025

Authorised official

Name: Albert Norman Brown
Title: Owner
Phone: (612) 481-3262

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1104369016
Entity type: Organization
NPI issued: 24 Nov 2016
Record last updated: 24 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.