Organization · NPI-2

Inner Peacepathway Mn

Clinic/Center, Adult Mental Health · Fridley, MN

NPI number1831998368
StatusActive
Last updated in NPPESMar 8, 2025

Details

NPI
1831998368
Entity type
Organization (NPI-2)
Legal business name
Inner Peacepathway Mn
Organization subpart
No
Enumeration date
Mar 8, 2025
Certification date
Mar 8, 2025
Last updated
Mar 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

146 63rd Way Ne
Fridley, MN 55432-4814

Phone 612-224-0479

Mailing address

146 63rd Way Ne
Fridley, MN 55432-4814

Phone 612-224-0479

Authorized official

Ali Hager
Owner
3202231385

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