Individual provider · Type 1 NPI
Mymuna Yusuf
Mental Illness Community Based Residential Treatment Facility · Blaine, MN
NPI number
1235896143
Active
Practice location
12369 5th St NE
Blaine, MN 55434-2644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1235896143
Mymuna Yusuf's National Provider Identifier is 1235896143, issued on Nov 26, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Blaine, MN. The record was last updated on Nov 26, 2021.