GREATER MINNEAPOLIS CRISIS NURSERY - NPI NUMBER 1427308360

Summary

Provider Name: GREATER MINNEAPOLIS CRISIS NURSERY

NPI Number: 1427308360

Clasification: Community/Behavioral Health (251S00000X)

Address:
5400 GLENWOOD AVE
GOLDEN VALLEY, MN
ZIP 55422

Phone Number: (763) 591-0400



Detailed Information

GREATER MINNEAPOLIS CRISIS NURSERY is a community/behavioral health in Golden Valley, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. The assigned NPI number for this provider is 1427308360 and is registered as an organization entity type.

The provider's business address is:

5400 GLENWOOD AVE
GOLDEN VALLEY, MN
ZIP 55422-120
Phone: (763) 591-0400
Fax: (763) 591-0700

The provider's authorized official is Molly Kenney .
The authorized official title is Program Director and has the following contact phone number (796) 559-2065.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/19/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 251S00000X Community/Behavioral Health Yes

NPI Record

No. Field Name Field Value
1 NPI 1427308360
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name GREATER MINNEAPOLIS CRISIS NURSERY
5 Provider First Line Business Practice Location Address 5400 GLENWOOD AVE
6 Provider Business Practice Location Address City Name GOLDEN VALLEY
7 Provider Business Practice Location Address State Name MN
8 Provider Business Practice Location Address Postal Code 554225120
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 7635910400
11 Provider Business Practice Location Address Fax Number 7635910700
12 Provider Enumeration Date 9/19/2012
13 Last Update Date 9/19/2012
14 Authorized Official Last Name KENNEY
15 Authorized Official First Name MOLLY
16 Authorized Official Title or Position PROGRAM DIRECTOR
17 Authorized Official Telephone Number 7965592065
18 Healthcare Provider Taxonomy Code 1 251S00000X
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Organization Subpart N
21 Authorized Official Credential Text LICSW

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.