Organization
CHILD FRIENDLY SPACE
Active
Other names
CFS
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL ABDI MOHAMED (MANAGER)
(651) 203-7960
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 149, SAINT PAUL, MN 55104-2891
(651) 203-7960
(651) 340-4768
Mailing address
1821 UNIVERSITY AVE W STE 149, SAINT PAUL, MN 55104-2891
(651) 203-7960
(651) 340-4768
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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