| Mindful Behavior Service Co | |
|
10 4th St N Moorhead MN 56560-1955 | |
| (701) 314-7257 | |
| Not Available |
| Full Name | Mindful Behavior Service Co |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10 4th St N, Moorhead, Minnesota |
| Authorized Official Name and Position | Abdinajib Muqtar Ahmed (AUTHORIZED AGENT) |
| Authorized Official Contact | 7013147257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Behavior Service Co 10 4th St N Moorhead MN 56560-1955 Ph: (701) 314-7257 | Mindful Behavior Service Co 10 4th St N Moorhead MN 56560-1955 Ph: (701) 314-7257 |
| NPI Number | 1336037969 |
|---|---|
| Provider Enumeration Date | 06/24/2025 |
| Last Update Date | 06/24/2025 |
| Certification Date | 06/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336037969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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