Organization · NPI-2

11mn

Community/Behavioral Health · Minneapolis, MN

NPI number1154601474
StatusActive
Last updated in NPPESAug 17, 2011

Details

NPI
1154601474
Entity type
Organization (NPI-2)
Legal business name
11mn
Organization subpart
No
Enumeration date
Aug 17, 2011
Last updated
Aug 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health302775MNYes

Other names

  • Eleventh Hour (Doing Business As)

Practice location

720 3rd Ave Ne
Ste 109
Minneapolis, MN 55413-2300

Phone 360-237-2616 · Fax 360-237-2616

Mailing address

720 3rd Ave Ne
Ste 109
Minneapolis, MN 55413-2300

Phone 360-237-2616 · Fax 360-237-2616

Authorized official

Felix Raymond Montez
Executive Director
3602372616

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Behavioral Health providers in Minneapolis, MN