| Alliance Behavioral Care | |
|
4470 W 78th Street Cir # 226 Bloomington MN 55435-5408 | |
| (612) 227-4094 | |
| Not Available |
| Full Name | Alliance Behavioral Care |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4470 W 78th Street Cir # 226, Bloomington, Minnesota |
| Authorized Official Name and Position | Abdiaziz Jama (MANAGER) |
| Authorized Official Contact | 6122274094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Behavioral Care 4470 W 78th Street Cir # 226 Bloomington MN 55435-5408 Ph: () - | Alliance Behavioral Care 4470 W 78th Street Cir # 226 Bloomington MN 55435-5408 Ph: (612) 227-4094 |
| NPI Number | 1639926819 |
|---|---|
| Provider Enumeration Date | 05/04/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639926819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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