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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIVINE LEGACY

Active Organization

DIVINE LEGACY is a Mental Health Clinic organization located in BROOKLYN CENTER, Minnesota. NPI 1073072260 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · BROOKLYN CENTER, MN

Registration Details

NPI Number
1073072260
Provider Type
Organization
NPI Issued
Mar 18, 2019 (7.2266475415365 yrs)
Last Updated
Mar 18, 2019

Practice Information

Address
3300 COUNTY ROAD 10 STE 318
BROOKLYN CENTER, MN, 554293066
Browse MN providers · Browse ZIP 55429
Phone
7634392588
Primary Specialty
Mental Health Clinic
261QM0801X
Additional Specialty
Adult Mental Health Clinic
Additional Specialty
Mental Health Clinic

Other Mental Health Clinic Organizations in BROOKLYN CENTER, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.