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Organization
CITY CLINIC INC
Active
Organization
CITY CLINIC INC
Active
Other names
City Clinic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMS MOHAMED ALI (PRESIDENT)
(612) 598-5148
Entity
Organization
Contact information
Practice address
4001 STINSON AVE. NE, UNIT 318B, MINNEAPOLIS, MN 55421
(612) 598-5148
Mailing address
4001 STINSON AVE. NE, UNIT 318B, MINNEAPOLIS, MN 55421
(612) 598-5148
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/26/2023
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