Whalio Doctors

NPI 1316494032

Primus Incorporated

Organisation Community/Behavioral Health Agency Brooklyn Park, MN

Practice location

Address
7309 Kentucky Ave N, Brooklyn Park, MN 55428-1222
Phone
(763) 269-9241

Authorised official

Name
Taiwo Remilekun Obazeluwa-Afolayan
Title
Clinical Administrator
Phone
(763) 732-3729

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 377540 (MN)

Registry record

NPI
1316494032
Entity type
Organization
NPI issued
10 Sep 2016
Record last updated
25 Jan 2017

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.