Organization
RAVEN HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIFATAH MOHAMUD (CEO)
(612) 328-3631
Entity
Organization
Contact information
Practice address
1865 OLD HUDSON RD # B2, SAINT PAUL, MN 55119-4308
(612) 328-3631
Mailing address
1865 OLD HUDSON RD # B2, SAINT PAUL, MN 55119-4308
(612) 328-3631
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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