Twin Cities Mental Rehab LLC
Clinic/Center in Burnsville, MN. Organization (NPI-2).
NPI number1295522019
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1295522019
- Entity type
- Organization (NPI-2)
- Legal business name
- Twin Cities Mental Rehab LLC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2025
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
120 Highway 13 E Apt 307Burnsville, MN 55337-4819
Phone 612-735-1000
Mailing address
120 Highway 13 E Apt 307Burnsville, MN 55337-4819
Phone 612-735-1000
Authorized official
Faisal Abdi Hersi
Owner
6127351000
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