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West Side Sober Living
Substance Abuse Rehabilitation Facility in Minnetonka, Minnesota
NPI 1366866907

West Side Sober Living is a Substance Abuse Rehabilitation Facility based in Minnetonka, MN. West Side Sober Living practices in Minnetonka, MN. The NPI Number for West Side Sober Living is 1366866907 and holds a License No. 1066522 (Minnesota).

The current practice location address for West Side Sober Living is 12218 Lake Street Ext, Minnetonka, MN and can be reached out via phone at 952-513-7475.

Location: 12218 Lake Street Ext, Minnetonka, MN, 55305-5172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366866907
Provider Name
West Side Sober Living
Credential
Provider Entity Type
Organization
Address
12218 Lake Street Ext, Minnetonka, MN, 55305-5172
Phone Number
952-513-7475
Fax Number
Provider Enumeration Date
02/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12218 Lake Street Ext
City
Minnetonka
State
Minnesota
Zip
55305-5172
Phone Number
952-513-7475
Fax Number
person
Provider Business Mailing Address Details
Address
12218 Lake Street Ext
City
Minnetonka
State
Minnesota
Zip
55305-5172
Phone Number
952-513-7475
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
1066522 (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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