Organization
SHAZ SERVICES INC
Active
Other names
Pathway Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
FARTUN HUSSEIN (MANAGER)
(320) 330-9748
Entity
Organization
Contact information
Practice address
2336 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-3710
(320) 330-9748
Mailing address
2336 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-3710
(320) 330-9748
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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