Organization · Type 2 NPI

Transformation House, Inc.

Substance Abuse Rehabilitation Facility · Fridley, MN

NPI number 1376950469 Active

Practice location

361 74th Ave NE
Fridley, MN 55432-3258

Mailing address

1410 S Ferry St
Anoka, MN 55303-2152

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X10739571CDT (MN)
Adult Health Nurse Practitioner 363LA2200XNone 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 1376950469

Transformation House, Inc.'s National Provider Identifier is 1376950469, issued on Jul 21, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fridley, MN. The record was last updated on Feb 28, 2024.