Advance Support Services

Organization Active NPI Adult Mental Health Clinic/Center · Saint Anthony, MN

NPI 1265098602 · NPPES record last updated May 10, 2019

Key facts

NPI
1265098602
Entity type
Organization (NPI type 2)
Primary specialty
Adult Mental Health Clinic/Center 261QM0850X
Legal business name
ADVANCE SUPPORT SERVICES
Practice address
3055 Old Highway 8 Ste 101a
Saint Anthony, MN 55418-2500
Phone
(612) 242-1893
NPI assigned
May 10, 2019
Organization subpart
No

Authorized official

Name
Balle Warsame
Title
President
Phone
(612) 242-1893

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Yes

Addresses

Primary practice location

3055 Old Highway 8 Ste 101a
Saint Anthony, MN 55418-2500

Mailing address

3055 Old Highway 8 Ste 101a
Saint Anthony, MN 55418-2500
Phone (612) 242-1893

Other identifiers

IdentifierTypeStateIssuer
02OtherMNMENTAL HEALTH

Other providers in Saint Anthony, MN

All providers in Saint Anthony, MN · Adult Mental Health Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.