Organization
UNIVERSAL SUPPORT AGENCY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD VUE (CEO/PRESIDENT)
(763) 951-9049
Entity
Organization
Contact information
Practice address
4513 WINCHESTER LN, BROOKLYN CENTER, MN 55429-1725
(763) 951-9049
Mailing address
4513 WINCHESTER LN, BROOKLYN CENTER, MN 55429-1725
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
08738
MN
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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