Organization · Type 2 NPI

Phoenix Renewal Treatment Services

Substance Abuse Rehabilitation Facility · Minnetonka, MN

NPI number 1184475378 Active

Practice location

12401 Minnetonka Blvd
Minnetonka, MN 55305-3971

Call (952) 513-7475 Map

Fax (952) 426-3266

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

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 1184475378

Phoenix Renewal Treatment Services's National Provider Identifier is 1184475378, issued on Mar 27, 2024. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Minnetonka, MN. The record was last updated on Mar 21, 2026.