| Crystal Wellness Center Llc | |
|
9001 E Bloomington Fwy Ste 147 Bloomington MN 55420-3450 | |
| (952) 658-6845 | |
| Not Available |
| Full Name | Crystal Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9001 E Bloomington Fwy Ste 147, Bloomington, Minnesota |
| Authorized Official Name and Position | Ahmedweli Farah (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 9526586845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Wellness Center Llc 9001 E Bloomington Fwy Ste 147 Bloomington MN 55420-3450 Ph: (952) 658-6845 | Crystal Wellness Center Llc 9001 E Bloomington Fwy Ste 147 Bloomington MN 55420-3450 Ph: (952) 658-6845 |
| NPI Number | 1194359547 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194359547 | NPI | - | NPPES |
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