OrganizationActive
Phoenix Renewal Treatment Services
NPI 1184475378 · Substance Abuse Rehabilitation Facility · Minnetonka, MN
Provider details
- NPI number
- 1184475378
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cory Somlai, Director(952) 529-8981
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12401 Minnetonka Blvd
Minnetonka, MN 55305-3971
Phone: (952) 513-7475
Fax: (952) 426-3266
Street-level locationGet directions
Mailing address
12401 Minnetonka Blvd
Minnetonka, MN 55305-3971
Other names (DBA / former)
- Doing business as
- One Twelve Treatment Facility
Registry dates
- Enumerated
- 2024-03-27
- Last updated
- 2026-03-21
- Certified
- 2026-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.