Organization
ACTIVE HEALING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED MOHAMED (OWNER)
(612) 578-7221
Entity
Organization
Contact information
Practice address
2121 NICOLLET AVE STE 2, MINNEAPOLIS, MN 55404-2567
(612) 578-7221
Mailing address
2121 NICOLLET AVE STE 2, MINNEAPOLIS, MN 55404-2567
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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