Organization · Type 2 NPI

New Salem Missionary Baptist Church

Children's Substance Abuse Rehabilitation Facility · Minneapolis, MN

NPI number 1699318766 Active

Practice location

2507 Bryant Ave N
Minneapolis, MN 55411-2116

Fax (612) 529-9416

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1699318766

New Salem Missionary Baptist Church's National Provider Identifier is 1699318766, issued on Oct 22, 2019. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 22, 2019.