ADDICTION CARE PHYSICIANS NPI 1962899013

NPI Information

ADDICTION CARE PHYSICIANS is a substance abuse rehabilitation facility in Minneapolis, 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. ADDICTION CARE PHYSICIANS NPI is 1962899013. The provider is registered as an organization entity type.

The provider's business location address is:

4001 STINSON BLVD
SUITE 212
MINNEAPOLIS, MN
ZIP 55421-488
Phone: (612) 788-2273
Fax: (612) 886-1939

The provider's authorized official is Sirri Atang Nomo-ongolo .
The authorized official title is Administration and has the following contact phone number (612) 788-2273.

The enumeration date for this NPI number is 4/16/2015 and was last updated on 4/16/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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