Organization
RECUPERATIVE HAVEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMCO AHMED (ADMINISTRATOR)
(612) 703-5528
Entity
Organization
Contact information
Practice address
2916 18TH AVE S, MINNEAPOLIS, MN 55407-1412
(612) 703-5528
Mailing address
2630 PORTLAND AVE, MINNEAPOLIS, MN 55407-1011
(612) 703-5528
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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