New Salem Metamorphosis Adolesent Program

LBN: New Salem Metamorphosis Adolesent Program
New Salem Metamorphosis Adolesent Program is an health care organization with primary practice located at 2507 Bryant Ave N , Minneapolis MN 55411-2116. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. New Salem Metamorphosis Adolesent Program can be contacted via phone (612) 250-8799, or through Jones, Hortense via phone (612) 250-8799.

Contact Information

Primary practice address
2507 Bryant Ave N Minneapolis MN 55411-2116
Phone: (612) 250-8799
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Hortense Associate of Arts (AA)
Phone: (612) 250-8799

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1061325-1-CDT Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1750636973
LBN Legal business name New Salem Metamorphosis Adolesent Program
DBA Doing business as
Authorized official Jones, Hortense Associate of Arts (AA)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2012
Last updated Jul 14th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers