| Advance Support Services | |
|
3055 Old Highway 8 Ste 101a Saint Anthony MN 55418-2500 | |
| (612) 242-1893 | |
| Not Available |
| Full Name | Advance Support Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3055 Old Highway 8 Ste 101a, Saint Anthony, Minnesota |
| Authorized Official Name and Position | Balle Warsame (PRESIDENT) |
| Authorized Official Contact | 6122421893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Support Services 3055 Old Highway 8 Ste 101a Saint Anthony MN 55418-2500 Ph: (612) 242-1893 | Advance Support Services 3055 Old Highway 8 Ste 101a Saint Anthony MN 55418-2500 Ph: (612) 242-1893 |
| NPI Number | 1265098602 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 05/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265098602 | NPI | - | NPPES |
| 02 | Other | MN | MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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