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Organization

ABC ACHIEVEMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAHAD A DHIISOW (PRESIDENT)
(651) 528-1065
Entity
Organization

Contact information

Practice address
2021 E HENNEPIN AVE STE 420, MINNEAPOLIS, MN 55413-1868
(651) 528-1065
Mailing address
2021 E HENNEPIN AVE STE 420, MINNEAPOLIS, MN 55413-1868
(651) 528-1065

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
04/01/2022
Last updated
04/01/2022
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