Organization
MIDWAY THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI AHMED FARAH (OWNER)
(206) 235-2017
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 461-7, SAINT PAUL, MN 55104-2801
(206) 235-2017
Mailing address
1821 UNIVERSITY AVE W STE 461-7, SAINT PAUL, MN 55104-2801
(206) 235-2017
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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