Organization
SHERBURNE RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRIHAMAN AHMED QADI (CEO)
(763) 647-8161
Entity
Organization
Contact information
Practice address
418 SHERBURNE AVE, SAINT PAUL, MN 55103-1941
(612) 819-4966
Mailing address
3757 FOSS RD, MINNEAPOLIS, MN 55421-4513
(612) 819-4966
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/29/2025
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