# SPECTRUM ROOTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447049531
- **Authorized official:** ISSA HUSSEIN (OWNER)
- **Authorized official phone:** (612) 512-9600

## Contact information

- **Practice address:** 1710 DOUGLAS DR N STE 111, GOLDEN VALLEY, MN 55422-4397
- **Practice address phone:** (612) 512-9600
- **Mailing address:** 1710 DOUGLAS DR N STE 111, GOLDEN VALLEY, MN 55422-4397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2025
- **Last updated:** 01/29/2026
