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Organization

ACCESS MINNESOTA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARAT IBRAHIM (CEO)
(612) 501-0484
Entity
Organization

Contact information

Practice address
235 ROSELAWN AVE E STE 15, MAPLEWOOD, MN 55117-1942
(612) 501-0484
Mailing address
235 ROSELAWN AVE E STE 15, MAPLEWOOD, MN 55117-1942
(612) 501-0484

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/21/2017
Last updated
12/21/2017
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