| Cpc, Pa | |
|
3601 Park Center Blvd Suite 207 St Louis Park MN 55416-2531 | |
| (952) 926-3364 | |
| (952) 926-3369 |
| Full Name | Cpc, Pa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3601 Park Center Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Faruk Said Abuzzahab (PRESIDENT/OWNER) |
| Authorized Official Contact | 9529263364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpc, Pa 3601 Park Center Blvd Suite 207 St Louis Park MN 55416-2531 Ph: (952) 926-3364 | Cpc, Pa 3601 Park Center Blvd Suite 207 St Louis Park MN 55416-2531 Ph: (952) 926-3364 |
| NPI Number | 1508053273 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 09/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508053273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 17068 (Minnesota) | Primary |
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