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Organization

MINDFUL RECOVERY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABDIRIZAK ALI ISMAIL (OWNER)
(612) 261-9312
Entity
Organization

Contact information

Practice address
151 SILVER LAKE RD NW UNIT 6, NEW BRIGHTON, MN 55112-8101
(612) 261-9312
Mailing address
151 SILVER LAKE RD NW UNIT 6, NEW BRIGHTON, MN 55112-8101
(612) 261-9312

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
03/05/2024
Last updated
03/05/2024
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