person
Hamida Mahamed, LADC
Substance Abuse Rehabilitation Facility in Minneapolis, Minnesota
NPI 1013596279

Hamida Mahamed is a Substance Abuse Rehabilitation Facility based in Minneapolis, MN. Hamida Mahamed practices in Minneapolis, MN and has the professional credentials of LADC. The NPI Number for Hamida Mahamed is 1013596279 and holds a License No. 108539 (Minnesota).

The current practice location address for Hamida Mahamed is 5941 Washburn Ave S, Minneapolis, MN and can be reached out via phone at 763-587-5513 and via fax at 612-259-8084.

Location: 5941 Washburn Ave S, Minneapolis, MN, 55410-2848
person
Provider Profile Details
NPI Number
1013596279
Provider Name
Hamida Mahamed
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
5941 Washburn Ave S, Minneapolis, MN, 55410-2848
Phone Number
763-587-5513
Fax Number
612-259-8084
Provider Enumeration Date
04/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5941 Washburn Ave S
City
State
Zip
55410-2848
Phone Number
763-587-5513
Fax Number
612-259-8084
person
Provider Business Mailing Address Details
Address
5941 Washburn Ave S
City
State
Zip
55410-2848
Phone Number
763-587-5513
Fax Number
612-259-8084
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
108539 (Minnesota)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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