New Salem Metormorphosis Youth Program

LBN: New Salem Metormorphosis Youth Program
New Salem Metormorphosis Youth Program is an health care organization with primary practice located at 2509 Bryant Ave North , Minneapolis MN 55411. 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 Metormorphosis Youth Program can be contacted via phone (612) 250-8799, or through Jones, Hortenese Nene via phone (612) 250-8799.

Contact Information

Primary practice address
2509 Bryant Ave North Minneapolis MN 55411
Phone: (612) 250-8799
Fax: (612) 529-9416
Website:
Map and Directions
Authorized official contact:
Name: Jones, Hortenese Nene Bachelor of Arts (BA)
Phone: (612) 250-8799

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301674 Minnesota

Profile Details

NPI number 1720354004
LBN Legal business name New Salem Metormorphosis Youth Program
DBA Doing business as New Salem Metormorphosis Youth Program
Authorized official Jones, Hortenese Nene Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2012
Last updated Mar 30th, 2012 - about 12 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.

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