Organization
AMERICAN INDIAN COMMUNITY DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CHRIS MCELVEEN (CHIEF OPERATION OFFICER)
(612) 893-2112
Entity
Organization
Contact information
Practice address
1800 CHICAGO AVE, MINNEAPOLIS, MN 55404
(612) 879-3562
(612) 879-3604
Mailing address
1508 E. FRANKLIN AVE, MINNEAPOLIS, MN 55404
(612) 813-1610
(612) 813-1612
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
10161012DS
MN
Other
Enumeration date
04/16/2014
Last updated
08/20/2021
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