Organization · NPI-2

Active Healing INC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Minneapolis, MN

NPI number1245990993
StatusActive
Last updated in NPPESDec 22, 2021

Details

NPI
1245990993
Entity type
Organization (NPI-2)
Legal business name
Active Healing INC
Organization subpart
No
Enumeration date
Dec 22, 2021
Certification date
Dec 22, 2021
Last updated
Dec 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2121 Nicollet Ave Ste 2
Minneapolis, MN 55404-2567

Phone 612-578-7221

Mailing address

2121 Nicollet Ave Ste 2
Minneapolis, MN 55404-2567

Authorized official

Mohamed Mohamed
Owner
6125787221

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