Organization · Type 2 NPI

Micah House

Substance Abuse Rehabilitation Facility · Minneapolis, MN

NPI number 1093190258 Active

Practice location

3047 5th Ave S
Minneapolis, MN 55408-2415

Call (651) 827-0484 Map

Fax (612) 827-0485

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X303472 (MN)

Substance Abuse Rehabilitation Facility: 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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About NPI 1093190258

Micah House's National Provider Identifier is 1093190258, issued on Jul 29, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 29, 2015.