| Summit Reentry Llc | |
|
563 38th Ave Ne Columbia Heights MN 55421-3802 | |
| (612) 600-4575 | |
| Not Available |
| Full Name | Summit Reentry Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 563 38th Ave Ne, Columbia Heights, Minnesota |
| Authorized Official Name and Position | Asad Ahmed Hassan (OWNER) |
| Authorized Official Contact | 9527372130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Reentry Llc 563 38th Ave Ne Columbia Heights MN 55421-3802 Ph: (612) 600-4575 | Summit Reentry Llc 563 38th Ave Ne Columbia Heights MN 55421-3802 Ph: (612) 600-4575 |
| NPI Number | 1326935370 |
|---|---|
| Provider Enumeration Date | 06/23/2025 |
| Last Update Date | 06/23/2025 |
| Certification Date | 06/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326935370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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