Organization
MINNESOTA BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HABON MOHAMED (OWNER)
(952) 393-1772
Entity
Organization
Contact information
Practice address
14300 NICOLLET CT STE 130, BURNSVILLE, MN 55306-3422
(952) 393-1772
Mailing address
14300 NICOLLET CT STE 130, BURNSVILLE, MN 55306-3422
(952) 393-1772
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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