Provider Demographics
NPI:1205078771
Name:NORTH POINT HEALTH & WELLNESS CENTER, INC
Entity type:Organization
Organization Name:NORTH POINT HEALTH & WELLNESS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAISHA
Authorized Official - Middle Name:I
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT; LICSW
Authorized Official - Phone:612-767-9154
Mailing Address - Street 1:1315 PENN AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3047
Mailing Address - Country:US
Mailing Address - Phone:612-543-2729
Mailing Address - Fax:612-302-4748
Practice Address - Street 1:1315 PENN AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-3047
Practice Address - Country:US
Practice Address - Phone:612-543-2729
Practice Address - Fax:612-302-4748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder