Organization
AVANTA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASRO SAID HASSAN (N/A)
(651) 370-8791
Entity
Organization
Contact information
Practice address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
(651) 370-8791
Mailing address
202 N CEDAR AVE STE 1, OWATONNA, MN 55060-2306
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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