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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