Alberta Winifred Desouza

NPI #1396467395 in Savage, Minnesota

Provider Information

NPI Number: 1396467395
Entity Type: Organization
Organization Name: Alberta Winifred Desouza
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Sep 15, 2022
Last Updated: Sep 15, 2022

Practice Location

Address: 6220 W 132ND ST
City: Savage
State: Minnesota
ZIP Code: 55378-2484
Phone: (952) 215-9206

Authorized Official

Name: FRANCIS DE-SOUZA
Title: ADMINISTRATOR
Phone: (952) 486-1249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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