OrganizationActive
Kids Zone Development Center Inc
NPI 1821697202 · Adolescent and Children Mental Health Clinic/Center · Saint Paul, MN
Provider details
- NPI number
- 1821697202
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Fahmo Mohamed, President
Practice location
962 University Ave W
Saint Paul, MN 55104-4703
Phone: (161) 280-6593
Mailing address
670 Marigold Ter Ne
Fridley, MN 55432-5641
Registry dates
- Enumerated
- 2020-10-18
- Last updated
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.