Organization
PREMIER TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI ALI (OWNER)
(612) 564-9057
Entity
Organization
Contact information
Practice address
5270 W 84TH ST STE 370, BLOOMINGTON, MN 55437-1377
(612) 564-9057
Mailing address
5270 W 84TH ST STE 370, BLOOMINGTON, MN 55437-1377
(612) 564-9057
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
03/29/2023
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