Organization
COMMUNITY PARTNER
Active
Other names
Community Partner
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJA SIMBA (MANAGING OFFICER)
(480) 787-7522
Entity
Organization
Contact information
Practice address
2042 WOODDALE DR STE 250, WOODBURY, MN 55125-4421
(480) 787-7522
Mailing address
2042 WOODDALE DR STE 250, WOODBURY, MN 55125-4421
(480) 787-7522
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
01/18/2024
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