GUIDANCE TREATMENT HOME, LLC


Address: 8735 Portland Ave S Apt 301, Bloomington, MN 55420-2961
Phone: 9525944467

GUIDANCE TREATMENT HOME, LLC (NPI# 1568821940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568821940
Entity Type Organization
Organization Name GUIDANCE TREATMENT HOME, LLC
Practice Address 8735 Portland Ave S Apt 301
Bloomington
MN 55420-2961
Practice Telephone 9525944467
Enumeration Date 2016-02-15
Last Update Date 2016-02-15
Authorized Official Name HODAN DUALEH (OWNER/PRESIDENT)
Authorized Official Telephone 9525944467
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 8735 PORTLAND AVE S APT 301
City BLOOMINGTON
State MN
Zip Code 55420-2961

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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

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Competitor

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City BLOOMINGTON
Zip Code 55420

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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