Organization
GUIDED PATHWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LIIBAN AHMED HASSAN CEO (DIRECTOR OF OPPORATIONS)
(612) 644-6800
Entity
Organization
Contact information
Practice address
2119 ELLIOT AVE, MINNEAPOLIS, MN 55404-2971
(612) 568-6860
Mailing address
2930 BLAISDELL AVE APT 226, MINNEAPOLIS, MN 55408-2325
(612) 644-6800
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/20/2018
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