OrganizationActive
11mn
NPI 1154601474 · Community/Behavioral Health Agency · Minneapolis, MN
Provider details
- NPI number
- 1154601474
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Authorized official
- Felix Montez, Executive Director
- License
- 302775 (MN)
Practice location
720 3rd Ave Ne
Ste 109
Minneapolis, MN 55413-2300
Phone: (360) 237-2616
Fax: (360) 237-2616
Mailing address
720 3rd Ave Ne
Minneapolis, MN 55413-2300
Registry dates
- Enumerated
- 2011-08-17
- Last updated
- 2011-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.