| Firstline Therapeutic Services Llc | |
|
1250 Moore Lake Dr E Ste 205e Fridley MN 55432-5176 | |
| (612) 479-2085 | |
| Not Available |
| Full Name | Firstline Therapeutic Services Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1250 Moore Lake Dr E Ste 205e, Fridley, Minnesota |
| Authorized Official Name and Position | Ayanle Abdihoosh (OWNER) |
| Authorized Official Contact | 6124792085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firstline Therapeutic Services Llc 1250 Moore Lake Dr E Ste 205e Fridley MN 55432-5176 Ph: () - | Firstline Therapeutic Services Llc 1250 Moore Lake Dr E Ste 205e Fridley MN 55432-5176 Ph: (612) 479-2085 |
| NPI Number | 1013688951 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013688951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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