Organization
SE HOMES RECOVERY INC
Active
Organization
SE HOMES RECOVERY INC
Active
Other names
South East Homes Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABAH ABDUL MOHAMED (PROGRAM DIRECTOR)
(612) 702-7231
Entity
Organization
Contact information
Practice address
4020 MINNEHAHA AVE STE 2070, MINNEAPOLIS, MN 55406-4529
(612) 702-7231
Mailing address
2542 17TH AVE S, MINNEAPOLIS, MN 55404-4001
(612) 702-7231
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1074798-2-CDT
MN
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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