Organization
PATHWAY TO RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADIK A ALI MD (CHIEF MANAGER)
(612) 205-1113
Entity
Organization
Contact information
Practice address
900 20TH AVE S, MINNEAPOLIS, MN 55404-2212
(612) 205-1113
Mailing address
2750 CEDAR AVE S UNIT 103, MINNEAPOLIS, MN 55407-1892
(612) 205-1113
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181137729
181137729
MN
Enumeration date
08/07/2023
Last updated
10/11/2023
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