Organization
SHIFA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDALLA ASAD ALI (OWNER)
(612) 636-3060
Entity
Organization
Contact information
Practice address
849 41ST AVE NE, COLUMBIA HEIGHTS, MN 55421-2910
(612) 636-3060
Mailing address
849 41ST AVE NE, COLUMBIA HEIGHTS, MN 55421-2910
(612) 636-3060
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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