Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Renewal Treatment Services

Organization Substance Abuse Rehabilitation Facility · NPI 1184475378

Phoenix Renewal Treatment Services is a Substance Abuse Rehabilitation Facility in Minnetonka, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12401 Minnetonka Blvd
Minnetonka, MN 55305-3971
Phone: (952) 513-7475
Fax: (952) 426-3266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1184475378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Somlai — Director · (952) 529-8981
Other names One Twelve Treatment Facility
NPI enumeratedMarch 27, 2024
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026
Mailing address12401 Minnetonka Blvd, Minnetonka, MN 55305-3971

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