A24 Behavioral LLC
Clinic/Center in Saint Paul, MN. Organization (NPI-2).
NPI number1881469641
StatusActive
Last updated in NPPESDec 29, 2023
Details
- NPI
- 1881469641
- Entity type
- Organization (NPI-2)
- Legal business name
- A24 Behavioral LLC
- Organization subpart
- No
- Enumeration date
- Nov 21, 2023
- Certification date
- Dec 29, 2023
- Last updated
- Dec 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1821 University Ave W Unit 261-6Saint Paul, MN 55104-2801
Phone 612-562-8680
Mailing address
1821 University Ave W Unit 261-6Saint Paul, MN 55104-2801
Authorized official
Luqman Ali
Owner
6194529134
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