Organization Name: | DIANE STRIKE, LLC |
NPI Number: | 1770720542 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE STRIKE (PRESIDENT) |
Mailing Address: | 3820 Cleveland Ave N Suite 400 Arden Hills |
State: | MN US |
Postal Code: | 551123285 |
Phone Number: | 6517854514 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2009 |
NPI Last Update Date: | 01/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | LP 4887 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |