Organization
SUMMIT INTEGRATED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASAD HASSAN (MANAGER)
(952) 737-2130
Entity
Organization
Contact information
Practice address
4205 LANCASTER LN N STE 100, PLYMOUTH, MN 55441-1702
(612) 600-4575
Mailing address
7101 YORK AVE S # 357, EDINA, MN 55435-2292
(612) 564-9816
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
10/14/2024
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