Organization · Type 2 NPI

Transformation House, Inc.

Substance Abuse Rehabilitation Facility · Fridley, MN

NPI number 1508081506 Active

Practice location

351 74th Ave NE
Fridley, MN 55432-3258

Mailing address

1410 S Ferry Rd
Anoka, MN 55303-2164

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X807288-3-CDT (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 1508081506

Transformation House, Inc.'s National Provider Identifier is 1508081506, issued on Apr 16, 2007. 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 Jun 20, 2023.