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FORTUNE RELIEF AND YOUTH EMPOWERMENT ORGANIZATION NPI 1487292322


NPI Information

NPI: 1487292322
Provider Name: FORTUNE RELIEF AND YOUTH EMPOWERMENT ORGANIZATION
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2910 PILLSBURY AVE S
SUITE 432
MINNEAPOLIS, MN
ZIP 55408
Phone: (612) 213-9312
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FORTUNE RELIEF AND YOUTH EMPOWERMENT ORGANIZATION is an adult mental health clinic center in Minneapolis, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. FORTUNE RELIEF AND YOUTH EMPOWERMENT ORGANIZATION NPI is 1487292322. The provider is registered as an organization entity type.

The provider's business location address is:

2910 PILLSBURY AVE S
SUITE 432
MINNEAPOLIS, MN
ZIP 55408-504
Phone: (612) 213-9312

The provider's authorized official is Ukasha Dakane .
The authorized official title is Executive Director and has the following contact phone number (612) 213-9312.

The enumeration date for this NPI number is 12/10/2019 and was last updated on 12/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthYes
4251S00000XCommunity/Behavioral HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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