Organization
ADDICTION HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINSI MIRREH (CEO)
(651) 888-2463
Entity
Organization
Contact information
Practice address
1983 SLOAN PL STE 16, MAPLEWOOD, MN 55117-2004
(651) 888-2463
Mailing address
1983 SLOAN PL STE 16, MAPLEWOOD, MN 55117-2004
(651) 888-2463
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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