Organization
FRONTLINE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADUMO AHMED (TREATMENT DIRECTOR)
(612) 298-3306
Entity
Organization
Contact information
Practice address
4124 QUEBEC AVE N STE 104, NEW HOPE, MN 55427-1200
(763) 393-6194
Mailing address
1600 18TH AVE NE UNIT 18744, MINNEAPOLIS, MN 55418-5532
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
03/09/2026
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