NPIMap

Organization Active NPI

Addiction Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn Park, MN
National Provider Identifier
1932452885
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
36657 Issued in MN
Legal business name
ADDICTION RECOVERY CENTER
Practice address
7001 78TH Ave N Ste 500
Brooklyn Park, MN 55445-2700
Phone
(763) 568-7758
Fax
(763) 566-4774
NPI assigned
Oct 16, 2012
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Dr. Joyce Ihioma Onyekaba, M.D.
Title
Director
Phone
(612) 978-3783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 36657 MN Primary

Addresses

Primary practice location

7001 78TH Ave N Ste 500
Brooklyn Park, MN 55445-2700

Mailing address

7001 78TH Ave N Ste 500
Brooklyn Park, MN 55445-2700
Phone (763) 568-7758

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1932452885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 78TH AVE N STE 500",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452700",
            "telephone_number": "763-568-7758",
            "fax_number": "763-566-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 78TH AVE N STE 500",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452700",
            "telephone_number": "763-568-7758",
            "fax_number": "763-566-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "ONYEKABA",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "IHIOMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-978-3783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "36657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.