Organization · Type 2 NPI
West Side Sober Living
Substance Abuse Rehabilitation Facility · Minnetonka, MN
NPI number
1366866907
Active
Practice location
12218 Lake Street Ext
Minnetonka, MN 55305-5172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 1066522 (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 1366866907
West Side Sober Living's National Provider Identifier is 1366866907, issued on Feb 18, 2014. 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 Feb 18, 2014.