Provider Demographics
NPI:1952112963
Name:ADAL ARHMS AND MENTAL HEALTH SERVICES CORP
Entity type:Organization
Organization Name:ADAL ARHMS AND MENTAL HEALTH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HIBO
Authorized Official - Middle Name:ABDILAHI
Authorized Official - Last Name:SAMATAR
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:952-486-9803
Mailing Address - Street 1:10800 LYNDALE AVE S STE 165
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-5698
Mailing Address - Country:US
Mailing Address - Phone:952-486-9803
Mailing Address - Fax:
Practice Address - Street 1:10800 LYNDALE AVE S STE 165
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-5698
Practice Address - Country:US
Practice Address - Phone:952-486-9803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)