| Growth Services Llc | |
|
1821 University Ave W Ste 325 Saint Paul MN 55104-2874 | |
| (612) 562-3787 | |
| Not Available |
| Full Name | Growth Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1821 University Ave W Ste 325, Saint Paul, Minnesota |
| Authorized Official Name and Position | Endi Mohamud (OWNER) |
| Authorized Official Contact | 6125623787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Services Llc 1821 University Ave W Ste 325 Saint Paul MN 55104-2874 Ph: (612) 562-3787 | Growth Services Llc 1821 University Ave W Ste 325 Saint Paul MN 55104-2874 Ph: (612) 562-3787 |
| NPI Number | 1356056964 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356056964 | NPI | - | NPPES |
| M640933000 | Other | MN | UMPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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