Reform Recovery Center Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

REFORM RECOVERY CENTER INC

Practice address

1911 Nicollet Ave
Minneapolis, MN 55403-3747

Phone

(651) 703-8720

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Kamaal Abdirahman Geele

Title

Director

Phone

(651) 703-8720

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1336877836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033747",
            "telephone_number": "651-703-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033747",
            "telephone_number": "651-703-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM RECOVERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "GEELE",
        "authorized_official_first_name": "KAMAAL",
        "authorized_official_middle_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-703-8720"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret Reese, MSN
• Amzie Elizabeth Reeves, MA
• Patricia Alexis Christine Reeves, CD
• Sherman W Reeves, MD
• Refocus Recovery
• Reform Wellness
• Kayla Marie Refsland, CNP
• Refuge Healthcare Services Inc
• Regain Health Agency LLC
• Warren Regelmann, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.