Organization
MINNESOTA BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRIZAK SHARIFF AHMED (PRESIDENT)
(612) 524-8828
Entity
Organization
Contact information
Practice address
1007 W BROADWAY AVE # 100, MINNEAPOLIS, MN 55411-2503
(612) 524-8828
Mailing address
1007 W BROADWAY AVE # 100, MINNEAPOLIS, MN 55411-2503
(612) 524-8828
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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