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Organization

CERULEAN MINDS SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABDIHAKIM IBRAHIM (MANAGER)
(763) 442-1507
Entity
Organization

Contact information

Practice address
1609 SOUTHCROSS DR W, BURNSVILLE, MN 55306-7013
(952) 769-4299
Mailing address
1609 SOUTHCROSS DR W, BURNSVILLE, MN 55306-7013
(952) 769-4299

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
10/27/2021
Last updated
10/27/2021
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