Organization
MANDRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNIR MOHAMED ABDIKADIR (OWNER)
(952) 215-6223
Entity
Organization
Contact information
Practice address
7123 EXCELSIOR WAY, ST LOUIS PARK, MN 55426-1463
(952) 215-6223
Mailing address
7123 EXCELSIOR WAY, ST LOUIS PARK, MN 55426-1463
(952) 215-6223
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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