Organization
TRANSFORM LIVES LLC
Active
Organization
TRANSFORM LIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSUF A MOHAMED (CEO/OWNER)
(763) 203-4974
Entity
Organization
Contact information
Practice address
1250 MOORE LAKE DR E STE 150, FRIDLEY, MN 55432-5135
(763) 203-4974
Mailing address
1250 MOORE LAKE DR E STE 150, FRIDLEY, MN 55432-5135
(763) 203-4974
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2024
Last updated
04/09/2025
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