Organization
PREMIER WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSSUF OMAR ABDI (DIRECTOR)
(612) 598-4120
Entity
Organization
Contact information
Practice address
2909 HENNEPIN AVE S., STE 200, MINNEAPOLIS, MN 55408
(612) 598-4120
Mailing address
1422 W LAKE ST STE 213, MINNEAPOLIS, MN 55408-2616
(612) 223-6744
(612) 223-6773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
07/28/2021
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