Organization
EPIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSUF ALI (EXECUTIVE DIRECTOR)
(651) 200-4159
Entity
Organization
Contact information
Practice address
2430 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1706
(651) 200-4159
Mailing address
2430 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1706
(651) 200-4159
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/24/2020
Last updated
05/01/2020
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