| Spectrum Therapy Center Llc | |
|
4124 Quebec Ave N Ste 303 New Hope MN 55427-1241 | |
| (612) 607-3963 | |
| Not Available |
| Full Name | Spectrum Therapy Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4124 Quebec Ave N Ste 303, New Hope, Minnesota |
| Authorized Official Name and Position | Mohamed A Mohamed (OWNER) |
| Authorized Official Contact | 6126073963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Therapy Center Llc 4124 Quebec Ave N Ste 303 New Hope MN 55427-1241 Ph: (612) 607-3963 | Spectrum Therapy Center Llc 4124 Quebec Ave N Ste 303 New Hope MN 55427-1241 Ph: (612) 607-3963 |
| NPI Number | 1033807276 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033807276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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