Provider Demographics
NPI:1720707342
Name:BARLIIN-EAC
Entity Type:Organization
Organization Name:BARLIIN-EAC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARHAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:GULED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-517-7096
Mailing Address - Street 1:215 COUNTY ROAD B2 E APT 215
Mailing Address - Street 2:
Mailing Address - City:LITTLE CANADA
Mailing Address - State:MN
Mailing Address - Zip Code:55117-1717
Mailing Address - Country:US
Mailing Address - Phone:612-517-7096
Mailing Address - Fax:
Practice Address - Street 1:215 COUNTY ROAD B2 E APT 215
Practice Address - Street 2:
Practice Address - City:LITTLE CANADA
Practice Address - State:MN
Practice Address - Zip Code:55117-1717
Practice Address - Country:US
Practice Address - Phone:612-517-7096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health