| Minnesota Recovery Developmental Center | |
|
7101 York Ave S Ste 335 Edina MN 55435-4428 | |
| (612) 481-0766 | |
| Not Available |
| Full Name | Minnesota Recovery Developmental Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7101 York Ave S Ste 335, Edina, Minnesota |
| Authorized Official Name and Position | Liban Yasin (CEO) |
| Authorized Official Contact | 6124810766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Recovery Developmental Center 7101 York Ave S Ste 335 Edina MN 55435-4428 Ph: () - | Minnesota Recovery Developmental Center 7101 York Ave S Ste 335 Edina MN 55435-4428 Ph: (612) 481-0766 |
| NPI Number | 1871350603 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871350603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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