NEW SALEM METORMORPHOSIS YOUTH PROGRAM is an addiction (substance use disorder) counselor in Minneapolis, MN. NEW SALEM METORMORPHOSIS YOUTH PROGRAM NPI is 1720354004. The provider is registered as an organization entity type and is a multi-specialty group. The provider Is Doing Business As New Salem Metormorphosis Youth Program.
The provider's business location address is:
2509 BRYANT AVE NORTH MINNEAPOLIS, MN ZIP 55411 Phone: (612) 250-8799 Fax: (612) 529-9416
The provider's authorized official is Hortenese Nene Jones . The authorized official title is Program Administrator and has the following contact phone number (612) 250-8799.
The enumeration date for this NPI number is 3/30/2012 and was last updated on 3/30/2012.
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:
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: 11/21/2025
NPI Synchronization or Removal
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