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Aspen Care LLC

Clinic/Center, Adult Mental Health in Columbia Heights, MN. Organization (NPI-2).

NPI number1083136352
StatusActive
Last updated in NPPESJul 8, 2017

Details

NPI
1083136352
Entity type
Organization (NPI-2)
Legal business name
Aspen Care LLC
Organization subpart
No
Enumeration date
Jul 8, 2017
Last updated
Jul 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

710 40th Ave Ne
Columbia Heights, MN 55421-2901

Phone 763-432-5637 · Fax 763-432-3866

Mailing address

710 40th Ave Ne
Columbia Heights, MN 55421-2901

Phone 763-432-5637 · Fax 763-432-3866

Authorized official

Ahmedweli Hassan Farah
President/Ceo
9527157471

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