Organization
REFORM RECOVERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAAL ABDIRAHMAN GEELE (DIRECTOR)
(651) 703-8720
Entity
Organization
Contact information
Practice address
1911 NICOLLET AVE, MINNEAPOLIS, MN 55403-3747
(651) 703-8720
Mailing address
1911 NICOLLET AVE, MINNEAPOLIS, MN 55403-3747
(651) 703-8720
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/19/2022
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