Organization · Type 2 NPI

Prodigal House Inc.

Substance Abuse Rehabilitation Facility · Minneapolis, MN

NPI number 1316016884 Active

Practice location

5103 Minnehaha Ave Bldg 16
Minneapolis, MN 55417-1647

Call (612) 721-3358 Map

Fax (612) 721-2619

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X801974 (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 1316016884

Prodigal House Inc.'s National Provider Identifier is 1316016884, issued on Nov 7, 2006. 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 Jun 19, 2008.