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

Vira Detox LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1255207981

Vira Detox LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Coon Rapids, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3855 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518
Phone: (763) 200-6512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1255207981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hoda Bashir — Ceo · (612) 559-6937
NPI enumeratedOctober 10, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address3855 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518

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