Family Tree Behavioral Services | |
4293 144th Street West Rosemount MN 55068 | |
(612) 636-1186 | |
Not Available |
Full Name | Family Tree Behavioral Services |
---|---|
Speciality | Psychologist - Intellectual & Developmental Disabilities |
Location | 4293 144th Street West, Rosemount, Minnesota |
Authorized Official Name and Position | Osob Hashi Mohamed (CO-OWNER) |
Authorized Official Contact | 6126361186 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Tree Behavioral Services 4293 144th Street West Rosemount MN 55068 Ph: (612) 636-1186 | Family Tree Behavioral Services 4293 144th Street West Rosemount MN 55068 Ph: (612) 636-1186 |
NPI Number | 1972323319 |
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Provider Enumeration Date | 10/11/2024 |
Last Update Date | 10/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972323319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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