Organization
GREEN HAVEN IRTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMOUD EGAL (CEO)
(651) 347-1747
Entity
Organization
Contact information
Practice address
513 WOOD WAY, BURNSVILLE, MN 55337-5732
(763) 485-1011
Mailing address
1500 MCANDREWS RD W STE 203, BURNSVILLE, MN 55337-4445
(763) 485-1011
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
283Q00000X
Psychiatric Hospital
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
03/05/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us