Organization
GOSHEN HEALTH SERVICES LLC
Active
Other names
Dominion Healthcare services L
Organization subpart
No
Provider details
NPI number
Authorized official
YARIA BANGURA OWNER (MANAGER)
(612) 258-8794
Entity
Organization
Contact information
Practice address
5421 PENN AVE N, BROOKLYN CENTER, MN 55430-2943
(612) 258-8794
Mailing address
5421 PENN AVE N, BROOKLYN CENTER, MN 55430-2943
(612) 258-8794
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
09/01/2023
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