PIONEER HEALING AND RESTORATION SERVICES INC NPI 1932608916

NPI Information

NPI: 1932608916
Provider Name: PIONEER HEALING AND RESTORATION SERVICES INC,
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1885 UNIVERSITY AVE W STE 300A
SAINT PAUL, MN
ZIP 55104
Phone: (612) 564-9554
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PIONEER HEALING AND RESTORATION SERVICES INC, is an adult mental health clinic center in Saint Paul, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PIONEER HEALING AND RESTORATION SERVICES INC, NPI is 1932608916. The provider is registered as an organization entity type.

The provider's business location address is:

1885 UNIVERSITY AVE W STE 300A
SAINT PAUL, MN
ZIP 55104-462
Phone: (612) 564-9554

The provider's authorized official is Omar Mohamed .
The authorized official title is Ceo and has the following contact phone number (612) 636-3593.

The enumeration date for this NPI number is 2/6/2018 and was last updated on 2/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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