Organization
WELLNESS SERVICE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIFITAH HUSSINE (MANAGER)
(612) 404-4423
Entity
Organization
Contact information
Practice address
3200 SOUTHDALE CIR APT 303, EDINA, MN 55435-5166
(612) 404-4423
Mailing address
3200 SOUTHDALE CIR APT 303, EDINA, MN 55435-5166
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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