OrganizationActive
Addiction Care Physicians
NPI 1962899013 · Substance Abuse Rehabilitation Facility · Minneapolis, MN
Provider details
- NPI number
- 1962899013
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Sirri Nomo-Ongolo, Administration
Practice location
4001 Stinson Blvd
Suite 212
Minneapolis, MN 55421-3488
Phone: (612) 788-2273
Fax: (612) 886-1939
Mailing address
3616 Roosevelt St Ne
St Anthony Village, MN 55418-1559
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2015-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.