Micah House
Micah House is a Substance Abuse Rehabilitation Facility in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.
- Licensed in
- MN
- In the registry since
- 2015
Practice location Address checks out
3047 5th Ave SMinneapolis, MN 55408-2415
Phone: (651) 827-0484
Fax: (612) 827-0485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 303472 (MN) |
|---|
Record details
| NPI number | 1093190258 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Holmquist-Burks — Clinical Supervisor · (612) 827-0484 |
| NPI enumerated | July 29, 2015 |
| Last updated in NPPES | July 29, 2015 |
| Mailing address | 3047 5th Ave S, Minneapolis, MN 55408-2415 |
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