| First Light Services Inc | |
|
6001 78th Ave N Minneapolis MN 55443-2909 | |
| (612) 703-7723 | |
| Not Available |
| Full Name | First Light Services Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6001 78th Ave N, Minneapolis, Minnesota |
| Authorized Official Name and Position | Najma Nohamed (PRESIDENT) |
| Authorized Official Contact | 6127033237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Light Services Inc 6001 78th Ave N Minneapolis MN 55443-2909 Ph: () - | First Light Services Inc 6001 78th Ave N Minneapolis MN 55443-2909 Ph: (612) 703-7723 |
| NPI Number | 1881420735 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881420735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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