Addiction Health Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ADDICTION HEALTH CENTER

Practice address

1983 Sloan PL Ste 16
Maplewood, MN 55117-2004

Phone

(651) 888-2463

NPI assigned

Sep 24, 2019

Last updated

Sep 24, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kinsi Mirreh

Title

Ceo

Phone

(651) 888-2463

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1336790088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 SLOAN PL STE 16",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551172004",
            "telephone_number": "651-888-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 SLOAN PL STE 16",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551172004",
            "telephone_number": "651-888-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "MIRREH",
        "authorized_official_first_name": "KINSI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-888-2463"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Maplewood, MN
• Providers in Maplewood, MN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.