| Aba Care Support Llc | |
|
607 38th Ave Ne Columbia Heights MN 55421-3804 | |
| (612) 505-2612 | |
| Not Available |
| Full Name | Aba Care Support Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 607 38th Ave Ne, Columbia Heights, Minnesota |
| Authorized Official Name and Position | Ahmed Gure (CEO) |
| Authorized Official Contact | 6125052612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Care Support Llc 607 38th Ave Ne Columbia Heights MN 55421-3804 Ph: (612) 505-2612 | Aba Care Support Llc 607 38th Ave Ne Columbia Heights MN 55421-3804 Ph: (612) 505-2612 |
| NPI Number | 1699530816 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699530816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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