Organization
ADVANCE CHILD BEHAVIOR SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEDIR AHMED (OWNER)
(612) 814-3567
Entity
Organization
Contact information
Practice address
2015 27TH ST SE APT 105, SAINT CLOUD, MN 56304-8587
(612) 814-3567
Mailing address
2015 27TH ST SE APT 105, SAINT CLOUD, MN 56304-8587
(612) 814-3567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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