Organization
KUSOW BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID MOHAMED HAJI-KUSOW (DIRECTOR)
(612) 424-5540
Entity
Organization
Contact information
Practice address
2469 UNIVERSITY AVE W STE 100E, SAINT PAUL, MN 55114-8717
(612) 424-5540
Mailing address
2469 UNIVERSITY AVE W STE 100E, SAINT PAUL, MN 55114-8717
(612) 424-5540
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
08/13/2025
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