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Organization
PATHWAY TO RECOVERY LLC
Active
Organization
PATHWAY TO RECOVERY LLC
Active
Parent organization
SAA HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAA HOLDINGS LLC
Authorized official
SADIK ALI MD (MEDICAL DIRECTOR)
(612) 205-1113
Entity
Organization
Contact information
Practice address
900 20TH AVE S, MINNEAPOLIS, MN 55404-2212
(612) 205-1113
Mailing address
900 20TH AVE S, MINNEAPOLIS, MN 55404-2212
(612) 205-1113
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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