Whalio Doctors

NPI 1154915684

D.I.V.I.N.E. Institute, INC.

Organisation Foster Care Agency Minneapolis, MN

Practice location

Address
729 Penn Ave N, Minneapolis, MN 55411-3625
Phone
(612) 459-7011
Fax
(651) 409-9530
Mailing address
838 Stellar Pl, Saint Paul, MN 55117-5446

Authorised official

Name
Aretta-Rie Johnson
Title
Ceo
Phone
(651) 447-5120

Registered specialties

Foster Care Agency Primary
Agencies Taxonomy 253J00000X

Registry record

NPI
1154915684
Entity type
Organization
NPI issued
25 Feb 2021
Record last updated
25 Feb 2021

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.