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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