ICOD LLC

BROOKLYN PARK, MN
NPI1467138529
Entity TypeOrganization
Authorized ContactCHUMA DKAE
CEO/Owner
612-205-0571
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2023-06-23
Last Update Date2023-06-23
Business Address
ICOD LLC
2616 87TH TRL N
BROOKLYN PARK, MN 55443-3742
Phone number: 612-205-0571
Mailing Address
ICOD LLC
2616 87TH TRL N
BROOKLYN PARK, MN 55443-3742
Phone number: 612-205-0571