Abria Detox LLC
NPI #1437872660 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1437872660
- Entity Type
- Organization
- Organization Name
- Abria Detox LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Sep 22, 2022
- Last Updated
- Sep 30, 2023
Practice Location
- Address
- 14750 LAC LAVON DR
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55306-6398
- Phone
- (612) 562-0561
Authorized Official
- Name
- IDMAN AHMEDNUR MOHAMED
- Title
- CEO
- Phone
- (952) 388-7640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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