Organization
WATERSHED BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BISHAR A YUSUF (OWNER)
(612) 703-9413
Entity
Organization
Contact information
Practice address
2429 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1541
(612) 703-9413
Mailing address
2429 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1541
(612) 703-9413
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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