Organization · Type 2 NPI
Community Medical Services Montana-Private, LLC
Methadone Clinic · New Hope, MN
NPI number
1902646847
Active
Practice location
4445 Winnetka Avenue North
New Hope, MN 55428
Mailing address
8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Methadone Clinic Primary | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
About NPI 1902646847
Community Medical Services Montana-Private, LLC's National Provider Identifier is 1902646847, issued on May 29, 2024. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in New Hope, MN. The record was last updated on May 29, 2024.