institution
Cgc
Mental Health Clinic/Center (Including Community Mental Health Center) in Minneapolis, Minnesota
NPI 1699239566

Cgc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Minneapolis, MN and is specialized in Mental Health (Including Community Mental Health Center). Cgc practices in Minneapolis, MN. The NPI Number for Cgc is 1699239566 and holds a License No. (Minnesota).

The current practice location address for Cgc is 1406 W Lake St Ste 208, Minneapolis, MN and can be reached out via phone at 612-642-1754.

Location: 1406 W Lake St Ste 208, Minneapolis, MN, 55408-2653
institution
Provider Profile Details
NPI Number
1699239566
Provider Name
Cgc
Credential
Provider Entity Type
Organization
Address
1406 W Lake St Ste 208, Minneapolis, MN, 55408-2653
Phone Number
612-642-1754
Fax Number
Provider Enumeration Date
01/24/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336374750 01 MN CLINICAL SOCIAL WORKER
1447644224 01 MN SOCIAL WORKER CLINICAL
institution
Provider Business Practice Location Address Details
Address
1406 W Lake St Ste 208
City
State
Zip
55408-2653
Phone Number
612-642-1754
Fax Number
person
Provider Business Mailing Address Details
Address
1406 W Lake St Ste 208
City
State
Zip
55408-2653
Phone Number
612-642-1754
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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