Organization
ASPEN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMEDWELI HASSAN FARAH (PRESIDENT/CEO)
(952) 715-7471
Entity
Organization
Contact information
Practice address
710 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421-2901
(763) 432-5637
(763) 432-3866
Mailing address
710 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421-2901
(763) 432-5637
(763) 432-3866
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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