Organization · NPI-2

180 Degrees, INC

Community/Behavioral Health · Minneapolis, MN

NPI number1700200425
StatusActive
Last updated in NPPESMar 17, 2015

Details

NPI
1700200425
Entity type
Organization (NPI-2)
Legal business name
180 Degrees, INC
Organization subpart
Yes
Enumeration date
Feb 17, 2014
Last updated
Mar 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

236 Clifton Ave
Minneapolis, MN 55403-3466

Phone 612-870-7227

Mailing address

236 Clifton Ave
Minneapolis, MN 55403-3466

Authorized official

Richard J Gardell
Ceo
6128135010

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