institution
Prodigal House Inc.
Substance Abuse Rehabilitation Facility in Minneapolis, Minnesota
NPI 1316016884

Prodigal House Inc. is a Substance Abuse Rehabilitation Facility based in Minneapolis, MN. Prodigal House Inc. practices in Minneapolis, MN. The NPI Number for Prodigal House Inc. is 1316016884 and holds a License No. 801974 (Minnesota).

The current practice location address for Prodigal House Inc. is 5103 Minnehaha Ave Bldg 16, Minneapolis, MN and can be reached out via phone at 612-721-3358 and via fax at 612-721-2619. You can also correspond with Prodigal House Inc. through the mailing address at 5103 MINNEHAHA AVE BLDG 16, MINNEAPOLIS, MN - 55417-1647 (mailing address contact number: 612-721-3358).

Location: 5103 Minnehaha Ave Bldg 16, Minneapolis, MN, 55417-1647
institution
Provider Profile Details
NPI Number
1316016884
Provider Name
Prodigal House Inc.
Credential
Provider Entity Type
Organization
Address
5103 Minnehaha Ave Bldg 16, Minneapolis, MN, 55417-1647
Phone Number
612-721-3358
Fax Number
612-721-2619
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5103 Minnehaha Ave Bldg 16
City
State
Zip
55417-1647
Phone Number
612-721-3358
Fax Number
612-721-2619
person
Provider Business Mailing Address Details
Address
5103 Minnehaha Ave Bldg 16
City
State
Zip
55417-1647
Phone Number
612-721-3358
Fax Number
612-721-2619
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
801974 (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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