Organization
ABLE MINDS SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYUB ABDIRAHMAN OMER (MANAGER)
(763) 321-8438
Entity
Organization
Contact information
Practice address
11032 ZEST ST NE UNIT G, BLAINE, MN 55449-7489
(612) 559-6045
Mailing address
11032 ZEST ST NE UNIT G, BLAINE, MN 55449-7489
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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