| NPI | 1538961644 |
|---|---|
| Doing Business As | PATHWAY TO RECOVERY DETOX |
| Entity Type | Organization |
| Authorized Contact | SADIK A ALI Medical Director 612-205-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |