Organization
GROWTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENDI MOHAMUD (OWNER)
(612) 562-3787
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 325, SAINT PAUL, MN 55104-2874
(612) 562-3787
Mailing address
1821 UNIVERSITY AVE W STE 325, SAINT PAUL, MN 55104-2874
(612) 562-3787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M640933000
UMPI
MN
Enumeration date
01/18/2023
Last updated
01/18/2023
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