West Side Sober Living
West Side Sober Living is a Substance Abuse Rehabilitation Facility in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.
- Licensed in
- MN
- In the registry since
- 2014
Practice location Address checks out
12218 Lake Street ExtMinnetonka, MN 55305-5172
Phone: (952) 513-7475
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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 1066522 (MN) |
|---|
Record details
| NPI number | 1366866907 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Holmes — Owner · (952) 513-7475 |
| Other names | Dba One Twelve |
| NPI enumerated | February 18, 2014 |
| Last updated in NPPES | February 18, 2014 |
| Mailing address | 12218 Lake Street Ext, Minnetonka, MN 55305-5172 |
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