NPI 1154581130

Transforming Resources

Organisation Community/Behavioral Health Agency Bloomington, MN

Practice location

Address: 10800 Lyndale Ave S Suite #191, Bloomington, MN 55420-5614
Phone: (952) 884-5803

Authorised official

Name: Kip Wahlquist
Title: President
Phone: (952) 884-5803

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Minnesota →

Registry record

NPI: 1154581130
Entity type: Organization
NPI issued: 12 Jun 2008
Record last updated: 12 Jun 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.