Transform Lives LLC

NPI #1790501872 in Fridley, Minnesota

Provider Information

NPI Number
1790501872
Entity Type
Organization
Organization Name
Transform Lives LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Nov 23, 2024
Last Updated
Apr 9, 2025

Practice Location

Address
1250 MOORE LAKE DR E STE 150
ZIP Code
55432-5135
Phone
(763) 203-4974

Authorized Official

Name
YUSUF A MOHAMED
Title
CEO/OWNER
Phone
(763) 203-4974

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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