Organization

Partners In Healing Of Minneapolis, Llc

May also be knows as Partners In Healing Of Minneapolis

Legal Business Name

Partners In Healing Of Minneapolis, Llc

Also Known As

Partners In Healing Of Minneapolis

NPI Number

1518162684

NPI Type

Organization

Enumeration Date

06/19/2007

Specialties

(Taxonomies)

Code

103G00000X
1041C0700X
103TB0200X
103TC1900X
103TF0000X
103TH0004X
101YM0800X
103T00000X

Primary Taxonomy

No
No
No
No
No
No
No
No

Licenses

State

Minnesota
Minnesota
Minnesota

License Number

LP1585
17268
LP4786

Contact
Information

Purpose

Mailing
Location

Address

10505 WAYZATA BLVD.,
10505 WAYZATA BLVD.,

City

Minnetonka
Minnetonka

State

MN
MN

Postal Code

55305-5507
55305-5507

Country

US
US

Telephone Number

(763) 546-5797
(763) 546-5797

Authorized Official

Name

Dr. David Alter

Title or Position

OWNER

Telephone Number

(763) 546-5797

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/29/2013

Provider Address