Organization · Type 2 NPI
Transform Lives LLC
Substance Use Disorder Rehabilitation Clinic/Center · Fridley, MN
NPI number
1790501872
Active
Practice location
1250 Moore Lake Dr E Ste 150
Fridley, MN 55432-5135
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...
About NPI 1790501872
Transform Lives LLC's National Provider Identifier is 1790501872, issued on Nov 23, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Fridley, MN. The record was last updated on Apr 9, 2025.