| A24 Behavioral LLC | |
|
1821 University Ave W Unit 261-6 Saint Paul MN 55104-2801 | |
| (612) 562-8680 | |
| Not Available |
| Full Name | A24 Behavioral LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1821 University Ave W Unit 261-6, Saint Paul, Minnesota |
| Authorized Official Name and Position | Luqman Ali (OWNER) |
| Authorized Official Contact | 6194529134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A24 Behavioral LLC 1821 University Ave W Unit 261-6 Saint Paul MN 55104-2801 | A24 Behavioral LLC 1821 University Ave W Unit 261-6 Saint Paul MN 55104-2801 Ph: (612) 562-8680 |
| NPI Number | 1881469641 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881469641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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