| Kids Zone Development Center Inc | |
|
962 University Ave W Saint Paul MN 55104-4703 | |
| (161) 280-6593 | |
| Not Available |
| Full Name | Kids Zone Development Center Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 962 University Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Fahmo Mohamed (PRESIDENT) |
| Authorized Official Contact | 6122806593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Zone Development Center Inc 670 Marigold Ter Ne Fridley MN 55432-5641 Ph: (161) 280-6593 | Kids Zone Development Center Inc 962 University Ave W Saint Paul MN 55104-4703 Ph: (161) 280-6593 |
| NPI Number | 1821697202 |
|---|---|
| Provider Enumeration Date | 10/18/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821697202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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