| Green Haven Irts Llc | |
|
513 Wood Way Burnsville MN 55337-5732 | |
| (763) 485-1011 | |
| Not Available |
| Full Name | Green Haven Irts Llc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 513 Wood Way, Burnsville, Minnesota |
| Authorized Official Name and Position | Mohamoud Egal (CEO) |
| Authorized Official Contact | 7634851011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Haven Irts Llc 1500 Mcandrews Rd W Ste 203 Burnsville MN 55337-4445 Ph: (763) 485-1011 | Green Haven Irts Llc 513 Wood Way Burnsville MN 55337-5732 Ph: (763) 485-1011 |
| NPI Number | 1598589038 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598589038 | NPI | - | NPPES |
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