OrganizationActive
Guided Growth Therapy LLC
NPI 1689428138 · Developmental Disabilities Clinic/Center · Roseville, MN
Provider details
- NPI number
- 1689428138
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Mustafa Ali, Co-Ceo
Practice location
2355 Highway 36 W Ste 400
Roseville, MN 55113-3905
Phone: (720) 850-2055
Mailing address
2355 Highway 36 W Ste 400
Roseville, MN 55113-3905
Registry dates
- Enumerated
- 2024-04-12
- Last updated
- 2024-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.