Organization
ELITE SERVICES CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYAN MOHAMED (PRESIDENT)
(612) 298-2894
Entity
Organization
Contact information
Practice address
11005 OKINAWA AVE, BLAINE, MN 55449
(612) 298-2894
Mailing address
11005 OKINAWA AVE, BLAINE, MN 55449
(612) 298-2894
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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