Organization · Type 2 NPI

Centered On Youth

Substance Use Disorder Rehabilitation Clinic/Center · Minneapolis, MN

NPI number 1366096307 Active

Practice location

3210 Oliver Ave N
Minneapolis, MN 55412-2316

Call (612) 353-5983 Map

Fax (612) 345-5174

Other practice locations

3210 Oliver Ave N Fl 2, Minneapolis, MN 55412-2316 · (612) 353-5983

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

Another provider at this address

Community Partnership Collaborative 2.0Case Management Agency Minneapolis, MN NPI 1396245387

Other substance use disorder rehabilitation clinic/center providers in Minneapolis

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NPI record

NPI: 1366096307
Entity type: Organization (Type 2)
Issued: Jul 29, 2019
Last updated: Nov 25, 2019
Status: Active
Subpart: Yes of Centered On Youth

Other names

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Centered On Youth Treatment Clinic · doing business as

Authorized official

John Senar, PhD
Administrator/director
(612) 353-5983

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About NPI 1366096307

Centered On Youth's National Provider Identifier is 1366096307, issued on Jul 29, 2019. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 25, 2019.