Organization
SANCTUARY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEYD S HUSSEIN (OWNER)
(763) 760-4476
Entity
Organization
Contact information
Practice address
1403 SILVER LAKE RD NW STE 5, NEW BRIGHTON, MN 55112-9310
(763) 760-4476
Mailing address
1403 SILVER LAKE RD NW STE 5, NEW BRIGHTON, MN 55112-9310
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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