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AXIS BEHAVIORAL HEALTH INC NPI 1497217699


NPI Information

NPI: 1497217699
Provider Name: AXIS BEHAVIORAL HEALTH, INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
740 12TH AVE S
SAINT CLOUD, MN
ZIP 56301
Phone: (612) 644-3912
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AXIS BEHAVIORAL HEALTH, INC is a substance abuse rehabilitation facility in Saint Cloud, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. AXIS BEHAVIORAL HEALTH, INC NPI is 1497217699. The provider is registered as an organization entity type.

The provider's business location address is:

740 12TH AVE S
SAINT CLOUD, MN
ZIP 56301-219
Phone: (612) 644-3912

The provider's authorized official is Bosteya Abdulahi Farah .
The authorized official title is President and has the following contact phone number (612) 644-3912.

The enumeration date for this NPI number is 4/5/2019 and was last updated on 4/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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