Organization
EVERGREEN PATHWAYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRIZAK AHMED JAMA (MANAGER)
(763) 340-5049
Entity
Organization
Contact information
Practice address
2900 PARK AVE APT 3, MINNEAPOLIS, MN 55407-1362
(763) 340-5049
Mailing address
2900 PARK AVE APT 3, MINNEAPOLIS, MN 55407-1362
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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