| Vitalia Mn | |
|
7825 Washington Ave S Ste 615b Minneapolis MN 55439-2430 | |
| (612) 226-6210 | |
| Not Available |
| Full Name | Vitalia Mn |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7825 Washington Ave S Ste 615b, Minneapolis, Minnesota |
| Authorized Official Name and Position | Ayub Faarah (OWNER) |
| Authorized Official Contact | 6122266210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalia Mn 7825 Washington Ave S Ste 615b Minneapolis MN 55439-2430 Ph: () - | Vitalia Mn 7825 Washington Ave S Ste 615b Minneapolis MN 55439-2430 Ph: (612) 226-6210 |
| NPI Number | 1043007842 |
|---|---|
| Provider Enumeration Date | 04/23/2025 |
| Last Update Date | 04/23/2025 |
| Certification Date | 04/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043007842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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