Community Partner
Case Management in Woodbury, MN. Organization (NPI-2).
NPI number1841069168
StatusActive
Last updated in NPPESJan 18, 2024
Details
- NPI
- 1841069168
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Partner
- Organization subpart
- No
- Enumeration date
- Dec 28, 2023
- Certification date
- Jan 18, 2024
- Last updated
- Jan 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Other names
- Community Partner (Doing Business As)
Practice location
2042 Wooddale Dr Ste 250Woodbury, MN 55125-4421
Phone 480-787-7522
Mailing address
2042 Wooddale Dr Ste 250Woodbury, MN 55125-4421
Phone 480-787-7522
Authorized official
Khadija Simba
Managing Officer
4807877522
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