Organization
MABS RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABSHIR MOHAMED (CEO)
(612) 236-4714
Entity
Organization
Contact information
Practice address
5941 WASHBURN AVE S, MINNEAPOLIS, MN 55410-2848
(612) 236-4717
Mailing address
526 121ST AVE NE, BLAINE, MN 55434-3380
(612) 709-1440
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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