Building Family Foundation
Community/Behavioral Health in Bloomington, MN. Organization (NPI-2).
NPI number1861990459
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1861990459
- Entity type
- Organization (NPI-2)
- Legal business name
- Building Family Foundation
- Organization subpart
- No
- Enumeration date
- Jan 29, 2018
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – |
Practice location
8030 Old Cedar Ave S Ste 110Bloomington, MN 55425-1214
Phone 952-454-0421
Mailing address
1605 Cliff Rd E Apt 128Burnsville, MN 55337-1332
Authorized official
Fardowsa Ali
Ceo
9524540421
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