| Mindful Recovery Services Llc | |
|
151 Silver Lake Rd Nw Unit 6 New Brighton MN 55112-8101 | |
| (612) 261-9312 | |
| Not Available |
| Full Name | Mindful Recovery Services Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 151 Silver Lake Rd Nw Unit 6, New Brighton, Minnesota |
| Authorized Official Name and Position | Abdirizak Ali Ismail (OWNER) |
| Authorized Official Contact | 6122619312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Recovery Services Llc 151 Silver Lake Rd Nw Unit 6 New Brighton MN 55112-8101 Ph: (612) 261-9312 | Mindful Recovery Services Llc 151 Silver Lake Rd Nw Unit 6 New Brighton MN 55112-8101 Ph: (612) 261-9312 |
| NPI Number | 1811754831 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811754831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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