institution
New Salem Metamorphosis Adolesent Program
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1750636973

New Salem Metamorphosis Adolesent Program is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). New Salem Metamorphosis Adolesent Program practices in Minneapolis, MN. The NPI Number for New Salem Metamorphosis Adolesent Program is 1750636973 and holds a License No. 1061325-1-CDT (Minnesota).

The current practice location address for New Salem Metamorphosis Adolesent Program is 2507 Bryant Ave N, Minneapolis, MN and can be reached out via phone at 612-250-8799.

Location: 2507 Bryant Ave N, Minneapolis, MN, 55411-2116
institution
Provider Profile Details
NPI Number
1750636973
Provider Name
New Salem Metamorphosis Adolesent Program
Credential
Provider Entity Type
Organization
Address
2507 Bryant Ave N, Minneapolis, MN, 55411-2116
Phone Number
612-250-8799
Fax Number
Provider Enumeration Date
07/14/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2507 Bryant Ave N
City
State
Zip
55411-2116
Phone Number
612-250-8799
Fax Number
person
Provider Business Mailing Address Details
Address
2507 Bryant Ave N
City
State
Zip
55411-2116
Phone Number
612-250-8799
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1061325-1-CDT (Minnesota)
Definition
Definition to come...
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