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Organization

RESTORECARE

Active
Other names
LLC
Organization subpart
No

Provider details

NPI number
Authorized official
BAHJO H MAHAMUD LICSW (OWNER)
(612) 703-7465
Entity
Organization

Contact information

Practice address
1965 COUNTY ROAD E W, SAINT PAUL, MN 55112-7145
(612) 703-7465
Mailing address
1965 COUNTY ROAD E W, NEW BRIGHTON, MN 55112-7145
(612) 703-7465

Taxonomy

Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary

Other

Enumeration date
03/03/2025
Last updated
03/04/2025
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