Organization
ADDICTION RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOYCE IHIOMA ONYEKABA M.D. (DIRECTOR)
(612) 978-3783
Entity
Organization
Contact information
Practice address
7001 78TH AVE N STE 500, BROOKLYN PARK, MN 55445-2700
(763) 568-7758
(763) 566-4774
Mailing address
7001 78TH AVE N STE 500, BROOKLYN PARK, MN 55445-2700
(763) 568-7758
(763) 566-4774
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
36657
MN
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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