Organization
STEP ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA IBRAHIM (DIRECTOR)
(651) 289-6120
Entity
Organization
Contact information
Practice address
835 5TH ST E, SAINT PAUL, MN 55106-5199
(651) 289-6120
(651) 457-4692
Mailing address
835 5TH ST E, SAINT PAUL, MN 55106-5199
(651) 289-6120
(651) 457-4692
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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