Organization
ABRIA RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDMAN A MOHAMED (CEO)
(952) 388-7640
Entity
Organization
Contact information
Practice address
13401 COUNTY ROAD 5, BURNSVILLE, MN 55337-2377
(952) 406-8105
(952) 446-7273
Mailing address
13401 COUNTY ROAD 5, BURNSVILLE, MN 55337-2377
(952) 388-7640
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/12/2020
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