| Sanctuary Behavioral Health Llc | |
|
1403 Silver Lake Rd Nw Ste 5 New Brighton MN 55112-9310 | |
| (763) 760-4476 | |
| Not Available |
| Full Name | Sanctuary Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1403 Silver Lake Rd Nw Ste 5, New Brighton, Minnesota |
| Authorized Official Name and Position | Seyd S Hussein (OWNER) |
| Authorized Official Contact | 7637604476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Behavioral Health Llc 1403 Silver Lake Rd Nw Ste 5 New Brighton MN 55112-9310 Ph: () - | Sanctuary Behavioral Health Llc 1403 Silver Lake Rd Nw Ste 5 New Brighton MN 55112-9310 Ph: (763) 760-4476 |
| NPI Number | 1639771033 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 11/10/2020 |
| Certification Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639771033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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