Whalio Doctors

NPI 1114170404

Sacred Spiral Resources LLC

Organisation Community/Behavioral Health Agency Eagan, MN

Practice location

Address
4141 Old Sibley Memorial Hwy, Eagan, MN 55122-1996
Phone
(651) 686-8818
Fax
(651) 686-5560

Authorised official

Name
Nancy Nutting Cohen
Title
Owner
Phone
(651) 686-8818

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 1194 (MN)

Registry record

NPI
1114170404
Entity type
Organization
NPI issued
30 Oct 2008
Record last updated
30 Oct 2008

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.