Organization
SPECTRUM THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED A MOHAMED (OWNER)
(612) 987-4002
Entity
Organization
Contact information
Practice address
4124 QUEBEC AVE N STE 303, NEW HOPE, MN 55427-1241
(612) 607-3963
Mailing address
4124 QUEBEC AVE N STE 303, NEW HOPE, MN 55427-1241
(612) 607-3963
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
07/06/2024
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