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Organization
YA SALAM RECOVERY
Active
Organization
YA SALAM RECOVERY
Active
Other names
YA SALAM RECOVERY
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSEIN A HASSAN (DIRECTOR)
(612) 913-6133
Entity
Organization
Contact information
Practice address
6063 HUDSON RD STE 218-228, WOODBURY, MN 55125-4454
(651) 888-7020
(651) 888-7029
Mailing address
6063 HUDSON RD STE 218-228, WOODBURY, MN 55125-4454
(651) 888-7020
(651) 888-7029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
01/12/2026
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