Organization
NEW AMERICAN ADULT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED HARED (OWNER)
(612) 255-0846
Entity
Organization
Contact information
Practice address
30 25TH AVE S STE 104, SAINT CLOUD, MN 56301-4083
(612) 255-0846
Mailing address
30 25TH AVE S STE 104, SAINT CLOUD, MN 56301-4083
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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