Organization
MAI HERO BEYOND BOUNDARIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUE VANG LPCC (AUTHORIZED AGENT)
(651) 717-5096
Entity
Organization
Contact information
Practice address
10141 QUINCE ST NW, COON RAPIDS, MN 55433-5146
(651) 717-5096
(612) 484-4569
Mailing address
10141 QUINCE ST NW, COON RAPIDS, MN 55433-5146
(651) 717-5096
(612) 484-4569
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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