National Provider Identifier Database

PHYLLIS WHEATLEY COMMUNITY CENTER PWCC PHYLLIS WHEATLEY COMMUNITY CENTER INC
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

PHYLLIS WHEATLEY COMMUNITY CENTER, PWCC
LBN PHYLLIS WHEATLEY COMMUNITY CENTER, INC.
1301 N 10TH AVE, MINNEAPOLIS, MN 55411, USA, , 1301
MINNEAPOLIS, MN55411
Phone: 605-521-8441
Fax: 612-377-9089
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for PHYLLIS WHEATLEY COMMUNITY CENTER, PWCC

NPI Number 1669998357
Legal business name
LBN
PHYLLIS WHEATLEY COMMUNITY CENTER, INC.
Doing business as
DBA
PHYLLIS WHEATLEY COMMUNITY CENTER, PWCC
Authorized official BRIANNA MILLER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/15/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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