Organization
CENTER FOR NURTURING AND GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED HASSAN (CLINICAL DIRECTOR)
(651) 276-0607
Entity
Organization
Contact information
Practice address
1437 MARSHALL AVE STE 106, SAINT PAUL, MN 55104-6345
(651) 276-0607
Mailing address
PO BOX 4053, SAINT PAUL, MN 55104-0053
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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