Organization
NEW LIGHT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALID MOHAMUD (CEO)
(424) 313-4938
Entity
Organization
Contact information
Practice address
3026 15TH AVE S, SAINT CLOUD, MN 56301-5688
(424) 313-4938
Mailing address
8075 EDEN PRAIRIE RD APT 245, EDEN PRAIRIE, MN 55347-3303
(424) 313-4938
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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