Organization
ALLIANCE BEHAVIORAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIAZIZ JAMA (MANAGER)
(612) 227-4094
Entity
Organization
Contact information
Practice address
4470 W 78TH STREET CIR # 226, BLOOMINGTON, MN 55435-5408
(612) 227-4094
Mailing address
4470 W 78TH STREET CIR # 226, BLOOMINGTON, MN 55435-5408
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/07/2024
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