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Organization

NATHERS DEVELOPMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
INTESAR KASIM (OWNER)
(612) 217-3689
Entity
Organization

Contact information

Practice address
3887 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(612) 217-3689
Mailing address
3887 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(612) 217-3689

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
05/28/2025
Last updated
05/28/2025
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