| Ubu Synergy Support | |
|
5814 Blackshire Path Inver Grove Heights MN 55076-1618 | |
| (651) 300-6550 | |
| (651) 305-9395 |
| Full Name | Ubu Synergy Support |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5814 Blackshire Path, Inver Grove Heights, Minnesota |
| Authorized Official Name and Position | Alyssa Ruff (BUSINESS OWNER) |
| Authorized Official Contact | 6513006550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ubu Synergy Support 8821 Branson Dr Inver Grove Heights MN 55076-3524 Ph: (651) 230-6774 | Ubu Synergy Support 5814 Blackshire Path Inver Grove Heights MN 55076-1618 Ph: (651) 300-6550 |
| NPI Number | 1417595463 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417595463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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