Organization
KIDS ZONE DEVELOPMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHMO MOHAMED (PRESIDENT)
(612) 280-6593
Entity
Organization
Contact information
Practice address
962 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4703
(161) 280-6593
Mailing address
670 MARIGOLD TER NE, FRIDLEY, MN 55432-5641
(161) 280-6593
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2020
Last updated
12/01/2020
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