Provider Demographics
NPI:1770714347
Name:THE ALIVENESS PROJECT, INC.
Entity type:Organization
Organization Name:THE ALIVENESS PROJECT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPPE
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:612-822-7946
Mailing Address - Street 1:3808 NICOLLET AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55409-1304
Mailing Address - Country:US
Mailing Address - Phone:612-822-7946
Mailing Address - Fax:612-822-9668
Practice Address - Street 1:3808 NICOLLET AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55409-1304
Practice Address - Country:US
Practice Address - Phone:612-822-7946
Practice Address - Fax:612-822-9668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251B00000XAgenciesCase Management