Organization
EMERGE SUPPORT SERVICES, INC.
Active
Other names
Emerge Support Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RABIIC OMAR (OWNER & CEO)
(651) 703-8410
Entity
Organization
Contact information
Practice address
2233 HAMLINE AVE N STE 217, SAINT PAUL, MN 55113-5004
(651) 500-1449
Mailing address
2233 HAMLINE AVE N STE 217, SAINT PAUL, MN 55113-5004
(651) 500-1449
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234567
MENTAL HEALTH -OUT PATIENT
MN
Enumeration date
06/15/2021
Last updated
09/29/2021
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