OrganizationActive
Prospect Health LLC
NPI 1003700824 · Recovery Care Clinic/Center · Minneapolis, MN
Provider details
- NPI number
- 1003700824
- Entity type
- Organization
- Primary specialty
- Recovery Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Diini Jama, Managing Partner(612) 429-7680
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1 W Lake St Ste 165-3
Minneapolis, MN 55408-3154
Phone: (612) 429-7680
Approximate (ZIP-level) locationGet directions
Mailing address
1 W Lake St Ste 165-3
Minneapolis, MN 55408-3154
Registry dates
- Enumerated
- 2025-06-05
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.