Advance Support Services
NPI #1265098602 in Saint Anthony, Minnesota
Provider Information
- NPI Number
- 1265098602
- Entity Type
- Organization
- Organization Name
- Advance Support Services
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- May 10, 2019
- Last Updated
- May 10, 2019
Practice Location
- Address
- 3055 OLD HIGHWAY 8 STE 101A
- City
- Saint Anthony
- State
- Minnesota
- ZIP Code
- 55418-2500
- Phone
- (612) 242-1893
Authorized Official
- Name
- BALLE WARSAME
- Title
- PRESIDENT
- Phone
- (612) 242-1893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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