| Pristine Mental Health Services Llc | |
|
1053 Grand Ave Ste 102 Saint Paul MN 55105-3074 | |
| (651) 246-2851 | |
| Not Available |
| Full Name | Pristine Mental Health Services Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1053 Grand Ave Ste 102, Saint Paul, Minnesota |
| Authorized Official Name and Position | Hassan Hussein (OWNER) |
| Authorized Official Contact | 6512462851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pristine Mental Health Services Llc 1053 Grand Ave Ste 102 Saint Paul MN 55105-3074 Ph: () - | Pristine Mental Health Services Llc 1053 Grand Ave Ste 102 Saint Paul MN 55105-3074 Ph: (651) 246-2851 |
| NPI Number | 1376310847 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376310847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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