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Organization

A24 BEHAVIORAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUQMAN ALI (OWNER)
(619) 452-9134
Entity
Organization

Contact information

Practice address
1821 UNIVERSITY AVE W UNIT 261-6, SAINT PAUL, MN 55104-2801
(612) 562-8680
Mailing address
1821 UNIVERSITY AVE W UNIT 261-6, SAINT PAUL, MN 55104-2801

Taxonomy

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

Other

Enumeration date
11/21/2023
Last updated
12/29/2023
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