Crystal Wellness Center LLC
NPI #1194359547 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1194359547
- Entity Type
- Organization
- Organization Name
- Crystal Wellness Center LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 25, 2020
- Last Updated
- Jul 17, 2024
Practice Location
- Address
- 9001 E BLOOMINGTON FWY STE 147
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-3450
- Phone
- (952) 658-6845
Authorized Official
- Name
- AHMEDWELI FARAH
- Title
- OWNER/ADMINISTRATOR
- Phone
- (952) 658-6845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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