Organization
SAKINAH DETOX LLC
Active
Other names
Pathway to Recovery Detox
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADIK A ALI MD (MEDICAL DIRECTOR)
(612) 205-1113
Entity
Organization
Contact information
Practice address
900 20TH AVE S STE B, MINNEAPOLIS, MN 55404-2212
(612) 230-4280
Mailing address
900 20TH AVE S STE B, MINNEAPOLIS, MN 55404-2212
(612) 230-4280
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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