Beyond Brain Injury
Clinic/Center, Rehabilitation in Eden Prairie, MN. Organization (NPI-2).
NPI number1174395453
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1174395453
- Entity type
- Organization (NPI-2)
- Legal business name
- Beyond Brain Injury
- Organization subpart
- No
- Enumeration date
- Oct 30, 2023
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
7587 Kimberly LnEden Prairie, MN 55346-4259
Phone 612-384-1007
Mailing address
7587 Kimberly LnEden Prairie, MN 55346-4259
Authorized official
Nicole Lainhart
Executive Director
6123841007
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