Organization · NPI-2

Holistic Awarness Professional Services LLC

Community/Behavioral Health · Brooklyn Park, MN

NPI number1972057560
StatusActive
Last updated in NPPESAug 11, 2016

Details

NPI
1972057560
Entity type
Organization (NPI-2)
Legal business name
Holistic Awarness Professional Services LLC
Organization subpart
No
Enumeration date
Aug 11, 2016
Last updated
Aug 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

7420 Unity Ave N Ste 212
Brooklyn Park, MN 55443-3136

Phone 320-237-5626

Mailing address

3616 78th Ave N
Brooklyn Park, MN 55443-2827

Phone 320-237-5626

Authorized official

Dominic Yiemoh Harris
Mental Health Professional
3202375626

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