Organization
AMETHYST RECOVERY HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MORRISSEY BAHR (OWNER)
(651) 494-4446
Entity
Organization
Contact information
Practice address
759 WINSLOW AVE, SAINT PAUL, MN 55107-3349
(651) 494-4446
Mailing address
5862 BURKE TRL, INVER GROVE HEIGHTS, MN 55076-1583
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
175T00000X
Peer Specialist
—
—
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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