Organization
GUIDED GROWTH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA MOHAMED ALI (CO-CEO)
(720) 850-2055
Entity
Organization
Contact information
Practice address
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113-3905
(720) 850-2055
Mailing address
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113-3905
(720) 850-2055
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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