Organization
EMPOWER SPECTRUM SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRISAQ KHALIF IBRAHIM (SOCIAL WORKER)
(218) 790-9816
Entity
Organization
Contact information
Practice address
850 44TH AVE S APT 211, MOORHEAD, MN 56560-6782
(218) 790-9816
Mailing address
850 44TH AVE S APT 211, MOORHEAD, MN 56560-6782
(218) 790-9816
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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