Organization
MIDWEST COMMUNITY SUPPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUAD BASHIR JAMA (PRESIDENT/CEO)
(763) 363-9004
Entity
Organization
Contact information
Practice address
7900 EXCELSIOR BLVD STE 2015, HOPKINS, MN 55343-2600
(612) 533-3030
(952) 426-1367
Mailing address
7900 EXCELSIOR BLVD STE 2015, HOPKINS, MN 55343-2600
(763) 363-9004
(763) 592-8023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
03/03/2023
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