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Organization
RESTORATIVE HAVEN LLC
Active
Organization
RESTORATIVE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISKY ABSHIR (OWNER)
(612) 508-8704
Entity
Organization
Contact information
Practice address
5300 BROOKDALE CT, BROOKLYN PARK, MN 55443-3005
(612) 508-8704
Mailing address
740 PORTLAND AVE APT 904, MINNEAPOLIS, MN 55415-3605
(612) 508-8704
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/08/2025
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