Organization · Type 2 NPI
Divine Legacy
Mental Health Clinic/Center (Including Community Mental Health Center) · Brooklyn Center, MN
NPI number
1073072260
Active
Practice location
3300 County Road 10 Ste 318
Brooklyn Center, MN 55429-3066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Corporate Health Clinic/Center | 261QC1800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1073072260
Divine Legacy's National Provider Identifier is 1073072260, issued on Mar 18, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Brooklyn Center, MN. The record was last updated on Mar 18, 2019.