A24 Behavioral LLC
Organization Active NPI Clinic/Center · Saint Paul, MN
NPI 1881469641 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1881469641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- A24 BEHAVIORAL LLC
- Practice address
- 1821 University Ave W Unit 261-6
Saint Paul, MN 55104-2801 - Phone
- (612) 562-8680
- NPI assigned
- Nov 21, 2023
- Organization subpart
- No
Authorized official
- Name
- Luqman Ali
- Title
- Owner
- Phone
- (619) 452-9134
National Provider Directory
Locations
1250 Moore Lake Dr E
Fridley, MN 55432
Phone (763) 244-6516
1821 University Ave W
Ste 261-6
Saint Paul, MN 55104
Phone (612) 562-8680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1821 University Ave W Unit 261-6
Saint Paul, MN 55104-2801
Mailing address
1821 University Ave W Unit 261-6
Saint Paul, MN 55104-2801
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.