| Path To Recovery Llc | |
|
1240 3rd Ave E Ste 107 Shakopee MN 55379-1749 | |
| (952) 324-5146 | |
| (952) 456-8456 |
| Full Name | Path To Recovery Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1240 3rd Ave E Ste 107, Shakopee, Minnesota |
| Authorized Official Name and Position | Abdirahman Shariff Omar (ADMINISTRATOR) |
| Authorized Official Contact | 6129998057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Recovery Llc 1240 3rd Ave E Ste 107 Shakopee MN 55379-1749 Ph: (952) 324-5146 | Path To Recovery Llc 1240 3rd Ave E Ste 107 Shakopee MN 55379-1749 Ph: (952) 324-5146 |
| NPI Number | 1467136895 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467136895 | NPI | - | NPPES |
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