Organization
MINDFUL RECOVERY SERVICES LLC
Active
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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