| Maverick Mental Health Llc | |
|
9900 13th Ave N Ste 210 Plymouth MN 55441-5068 | |
| (612) 310-2537 | |
| Not Available |
| Full Name | Maverick Mental Health Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 9900 13th Ave N Ste 210, Plymouth, Minnesota |
| Authorized Official Name and Position | Maktal Abdifatah Mohamed (OWNER) |
| Authorized Official Contact | 6123102537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maverick Mental Health Llc 9900 13th Ave N Ste 210 Plymouth MN 55441-5068 Ph: () - | Maverick Mental Health Llc 9900 13th Ave N Ste 210 Plymouth MN 55441-5068 Ph: (612) 310-2537 |
| NPI Number | 1093575581 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093575581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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