Organization
MINNESOTA RECOVERY CENTER L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI ALI FARAH (MANAGER)
(952) 688-9960
Entity
Organization
Contact information
Practice address
8500 42ND AVE N SUITE 100, NEW HOPE, MN 55427
(952) 444-9730
Mailing address
8500 42ND AVE N SUITE 100, NEW HOPE, MN 55427
(952) 444-9730
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
08/14/2016
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