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Organization
NATHERS DEVELOPMENT CENTER LLC
Active
Organization
NATHERS DEVELOPMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INTESAR KASIM (OWNER)
(612) 217-3689
Entity
Organization
Contact information
Practice address
3887 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(612) 217-3689
Mailing address
3887 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(612) 217-3689
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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