National Provider Identifier Database

NEW SALEM MISSIONARY BAPTIST CHURCH
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

NEW SALEM MISSIONARY BAPTIST CHURCH
2507 BRYANT AVE N
MINNEAPOLIS, MN55411-2116
Phone: 612-522-2951
Fax: 612-529-9416
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for NEW SALEM MISSIONARY BAPTIST CHURCH

NPI Number 1699318766
Legal business name
LBN
NEW SALEM MISSIONARY BAPTIST CHURCH
Authorized official CHASMA DIXON - (BILLING MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 10/22/2019
Last updated 10/22/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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