Organization
PRISTINE MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN HUSSEIN (OWNER)
(651) 246-2851
Entity
Organization
Contact information
Practice address
1053 GRAND AVE STE 102, SAINT PAUL, MN 55105-3074
(651) 246-2851
Mailing address
1053 GRAND AVE STE 102, SAINT PAUL, MN 55105-3074
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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