Organization · Type 2 NPI

Illumination, LLC

Community/Behavioral Health Agency · St. Louis Park, MN

NPI number 1194140749 Active

Practice location

1660 Highway 100 S, Suite 502
St. Louis Park, MN 55416-1529

Call (612) 239-6017 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X2150 (MN)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1194140749

Illumination, LLC's National Provider Identifier is 1194140749, issued on Feb 19, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Feb 19, 2014.