Organization
MINDFUL BEHAVIOR SERVICE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDINAJIB MUQTAR AHMED (AUTHORIZED AGENT)
(701) 314-7257
Entity
Organization
Contact information
Practice address
10 4TH ST N, MOORHEAD, MN 56560-1955
(701) 314-7257
Mailing address
10 4TH ST N, MOORHEAD, MN 56560-1955
(701) 314-7257
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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