Organization
C E SOMLAI LLC
Active
Other names
One Twelve
Organization subpart
No
Provider details
NPI number
Authorized official
CORY EDWARD SOMLAI (OWNER, DIRECTOR)
(952) 529-8981
Entity
Organization
Contact information
Practice address
12401 MINNETONKA BLVD, MINNETONKA, MN 55305-3971
(952) 529-8981
Mailing address
1554 LIBERTY CIR, SHAKOPEE, MN 55379-4545
(612) 868-4967
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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