OrganizationActive
Abria Detox LLC
NPI 1437872660 · Substance Use Disorder Rehabilitation Clinic/Center · Burnsville, MN
Provider details
- NPI number
- 1437872660
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Idman Mohamed, Ceo(952) 388-7640
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
14750 Lac Lavon Dr
Burnsville, MN 55306-6398
Phone: (612) 562-0561
Street-level locationGet directions
Mailing address
Po Box 654
Lakeville, MN 55044-0654
Registry dates
- Enumerated
- 2022-09-22
- Last updated
- 2023-09-30
- Certified
- 2023-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.