Intergalactic Therapy Centre LLC

NPI #1255943361 in Eagan, Minnesota

Provider Information

NPI Number
1255943361
Entity Type
Organization
Organization Name
Intergalactic Therapy Centre LLC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Aug 19, 2020
Last Updated
Sep 18, 2020

Practice Location

Address
860 BLUE GENTIAN RD STE 200
City
Eagan
ZIP Code
55121-1567
Phone
(612) 458-8723

Authorized Official

Name
MR. GARAD HAGI MOHAMED SR.
Title
OWNER
Phone
(612) 458-8723

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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