Provider Demographics
NPI:1285279554
Name:METRO THERAPY CENTER INC
Entity type:Organization
Organization Name:METRO THERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDILAHI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABDILAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-426-9730
Mailing Address - Street 1:2520 PILLSBURY AVE S APT 306
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4208
Mailing Address - Country:US
Mailing Address - Phone:612-426-9730
Mailing Address - Fax:
Practice Address - Street 1:2520 PILLSBURY AVE S APT 306
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4208
Practice Address - Country:US
Practice Address - Phone:612-426-9730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-11
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health