NPI: 1376655159
Provider Name: TUBMAN
Former Legal Business Name: TUBMAN FAMILY ALLIANCE & CHRYSALIS A CENTER FOR WOMEN INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
4432 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 870-2444
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TUBMAN is a mental health (including community mental health center) clinic center in Minneapolis, MN. TUBMAN NPI is 1376655159. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tubman Family Alliance & Chrysalis A Center For Women Inc.
The provider's business location address is:
4432 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 870-2444
Fax: (612) 870-2428
The provider's authorized official is Beverly Dusso .
The authorized official title is Executive Director and has the following contact phone number (612) 767-6690.
The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/4/2008.