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MINNESOTA RECOVERY CENTER L.L.C.

Agencies Community/Behavioral Health

Provider NPI: 1861856890

Organization Information:
Organization Name:  MINNESOTA RECOVERY CENTER L.L.C.
Organization is not Subpart
Authorized Official:  ABDULLAHI ALI FARAH  MANAGER  952-688-9960

Practice Location:
8500 42ND AVE N SUITE 100  NEW HOPE, MN 55427 US
Tel: 952-444-9730  Fax: --

Business Mailing Address:
8500 42ND AVE N SUITE 100  NEW HOPE, MN 55427 US
Tel: 952-444-9730  Fax: --

NPI Information:
NPI: 1861856890
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N251S00000XAgencies
Community/Behavioral Health
N261QM0801XAmbulatory Health Care Facilities
Clinic/Center
N324500000XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility
N320700000XResidential Treatment Facilities
Residential Treatment Facility, Physical Disabilities
N261QM0850XAmbulatory Health Care Facilities
Clinic/Center
N261QM0855XAmbulatory Health Care Facilities
Clinic/Center
N320600000XResidential Treatment Facilities
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
N251B00000XAgencies
Case Management
N251J00000XAgencies
Nursing Care
N310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
Y3245S0500XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 3245S0500X

Type:

Classification:



Definition:



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