Organization
AWESOME BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIRAT A MUSE (PROGRAM MANAGER)
(404) 207-4246
Entity
Organization
Contact information
Practice address
3346 W SAINT GERMAIN ST APT 206, SAINT CLOUD, MN 56301-3797
(404) 207-4246
Mailing address
3346 W SAINT GERMAIN ST APT 206, SAINT CLOUD, MN 56301-3797
(404) 207-4246
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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