11MN
Organization Active NPI Community/Behavioral Health Agency · Minneapolis, MN
NPI 1154601474 · NPPES record last updated Aug 17, 2011
Key facts
- NPI
- 1154601474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 302775 (MN)
- Legal business name
- 11MN
- Practice address
- 720 3Rd Ave NE
Ste 109
Minneapolis, MN 55413-2300 - Phone
- (360) 237-2616
- Fax
- (360) 237-2616
- NPI assigned
- Aug 17, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Felix Raymond Montez, PH.D.
- Title
- Executive Director
- Phone
- (360) 237-2616
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 302775 | MN | Yes |
Addresses
Primary practice location
720 3Rd Ave NE
Ste 109
Minneapolis, MN 55413-2300
Mailing address
720 3Rd Ave NE
Ste 109
Minneapolis, MN 55413-2300
Phone (360) 237-2616
Other names
- Eleventh Hour
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All providers in Minneapolis, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.