| Spectrum Of Hope Llc | |
|
14440 Flax Way Apple Valley MN 55124-3335 | |
| (206) 430-3075 | |
| Not Available |
| Full Name | Spectrum Of Hope Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 14440 Flax Way, Apple Valley, Minnesota |
| Authorized Official Name and Position | Abdiqafar Aden Isse (OWNER) |
| Authorized Official Contact | 2064303075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Of Hope Llc 14440 Flax Way Apple Valley MN 55124-3335 Ph: (206) 430-3075 | Spectrum Of Hope Llc 14440 Flax Way Apple Valley MN 55124-3335 Ph: (206) 430-3075 |
| NPI Number | 1841018694 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841018694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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