Organization
CITY CLINIC INC
Active
Other names
City Clinic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMS MOHAMED ALI (PRESIDENT)
(612) 598-5148
Entity
Organization
Contact information
Practice address
4001 STINSON AVE. NE, UNIT 318B, MINNEAPOLIS, MN 55421
(612) 598-5148
Mailing address
4001 STINSON AVE. NE, UNIT 318B, MINNEAPOLIS, MN 55421
(612) 598-5148
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/26/2023
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