NPI 1760503890

Cobbo Incorporated

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Minneapolis, MN

Practice location

Address: 5826 Nicollet Ave, Minneapolis, MN 55419-2404
Phone: (612) 201-9379
Fax: (612) 729-9266
Mailing address: 2513 Kennelly Pl, Burnsville, MN 55337-7006

Authorised official

Name: Sean Patrick Michael Campbell
Title: President
Phone: (612) 201-9379

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 1017580 (MN)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Minnesota →

Registry record

NPI: 1760503890
Entity type: Organization
NPI issued: 3 Apr 2007
Record last updated: 22 Aug 2020

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.