Provider Demographics
NPI:1528883444
Name:ASCEND THERAPY CENTER INC.
Entity type:Organization
Organization Name:ASCEND THERAPY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMSA
Authorized Official - Middle Name:ABDIWELI
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:651-508-0561
Mailing Address - Street 1:13930 EDGEWOOD AVE UNIT 123
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-1302
Mailing Address - Country:US
Mailing Address - Phone:651-508-0561
Mailing Address - Fax:612-979-2646
Practice Address - Street 1:13930 EDGEWOOD AVE UNIT 123
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-1302
Practice Address - Country:US
Practice Address - Phone:651-508-0561
Practice Address - Fax:612-979-2646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health