La Costa Health Services LLC
NPI #1710338462 in St Anthony, Minnesota
Provider Information
- NPI Number
- 1710338462
- Entity Type
- Organization
- Organization Name
- La Costa Health Services LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 23, 2016
- Last Updated
- Jun 23, 2016
Practice Location
- Address
- 2817 ANTHONY LN S STE 106
- City
- St Anthony
- State
- Minnesota
- ZIP Code
- 55418-2489
- Phone
- (612) 788-4290
Authorized Official
- Name
- MAHAMUD MAHAD ABDI, MASTER'S DEGREE
- Title
- DIRECTOR
- Phone
- (619) 865-3475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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