Organization
AXIS RESIDENTIAL TREATMENT INC
Active
Organization
AXIS RESIDENTIAL TREATMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIRA NUR (OWNER)
(602) 903-8781
Entity
Organization
Contact information
Practice address
219 5TH ST SE, MINNEAPOLIS, MN 55414-1108
(602) 903-8781
Mailing address
219 5TH ST SE, MINNEAPOLIS, MN 55414-1108
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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