Pioneer Healing and Restoration Services Inc,
NPI #1932608916 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1932608916
- Entity Type
- Organization
- Organization Name
- Pioneer Healing and Restoration Services Inc,
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 6, 2018
- Last Updated
- Feb 6, 2018
Practice Location
- Address
- 1885 UNIVERSITY AVE W STE 300A
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-3462
- Phone
- (612) 564-9554
Authorized Official
- Name
- OMAR MOHAMED
- Title
- CEO
- Phone
- (612) 636-3593
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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