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Organization
EMPOWERED BEHAVIORAL AND CLINICAL SERVICES LLC
Active
Organization
EMPOWERED BEHAVIORAL AND CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUKIYA HASSAN LICSW (OWNER)
(734) 337-0959
Entity
Organization
Contact information
Practice address
1710 DOUGLAS DR N STE 225S, GOLDEN VALLEY, MN 55422-4365
(734) 337-0959
Mailing address
1710 DOUGLAS DR N STE 225S, GOLDEN VALLEY, MN 55422-4365
(734) 337-0959
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
07/23/2024
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