Organization
GUIDANCE TREATMENT HOME, LLC
Active
Organization
GUIDANCE TREATMENT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HODAN DUALEH (OWNER/PRESIDENT)
(952) 594-4467
Entity
Organization
Contact information
Practice address
8735 PORTLAND AVE S APT 301, BLOOMINGTON, MN 55420-2961
(952) 594-4467
Mailing address
8735 PORTLAND AVE S APT 301, BLOOMINGTON, MN 55420-2961
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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