institution
Micah House
Substance Abuse Rehabilitation Facility in Minneapolis, Minnesota
NPI 1093190258

Micah House is a Substance Abuse Rehabilitation Facility based in Minneapolis, MN. Micah House practices in Minneapolis, MN. The NPI Number for Micah House is 1093190258 and holds a License No. 303472 (Minnesota).

The current practice location address for Micah House is 3047 5Th Ave S, Minneapolis, MN and can be reached out via phone at 651-827-0484 and via fax at 612-827-0485.

Location: 3047 5Th Ave S, Minneapolis, MN, 55408-2415
institution
Provider Profile Details
NPI Number
1093190258
Provider Name
Micah House
Credential
Provider Entity Type
Organization
Address
3047 5Th Ave S, Minneapolis, MN, 55408-2415
Phone Number
651-827-0484
Fax Number
612-827-0485
Provider Enumeration Date
07/29/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
303472 05 MN
institution
Provider Business Practice Location Address Details
Address
3047 5Th Ave S
City
State
Zip
55408-2415
Phone Number
651-827-0484
Fax Number
612-827-0485
person
Provider Business Mailing Address Details
Address
3047 5Th Ave S
City
State
Zip
55408-2415
Phone Number
651-827-0484
Fax Number
612-827-0485
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
303472 (Minnesota)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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