Organization
EARLY SUCCESS THERAPY SERVICES
Active
Other names
Early success therapy services
Organization subpart
No
Provider details
NPI number
Authorized official
SUWEYDO GALE (OWNER)
(612) 644-5866
Entity
Organization
Contact information
Practice address
2355 HIGHWAY 36 W STE 479, ROSEVILLE, MN 55113-3902
(612) 644-5866
Mailing address
2355 HIGHWAY 36 W STE 479, ROSEVILLE, MN 55113-3902
(612) 644-5866
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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