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SPECIALIZED TREATMENT SERVICES, INC.
NPI 1063575306
Substance Abuse Rehabilitation Facility in Minneapolis, MN

Active since December 18, 2006
1121 JACKSON ST NE, SUITE 105, MINNEAPOLIS, MN 55413(612) 236-1703(612) 236-1701 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Specialized Treatment Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECIALIZED TREATMENT SERVICES, INC. (NPI 1063575306) is a healthcare organization registered as a substance abuse rehabilitation facility in Minneapolis, Minnesota and active in the NPI registry since December 2006. The organization lists Glenn A Mcgregor, Vice President, as its authorized official.

NPPES Registry Identity

NPI1063575306
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSPECIALIZED TREATMENT SERVICES, INC.
Location Address1121 JACKSON ST NE, SUITE 105Minneapolis, MN 55413-1672
Mailing Address1121 Jackson St Ne, Suite 105Minneapolis, MN 55413-1672 · (612) 236-1703 · Fax (612) 236-1701
Phone(612) 236-1703
Fax(612) 236-1701
Organization SubpartNo
Authorized OfficialGlenn A McgregorVice President · (612) 236-1703
Enumeration DateDecember 18, 2006
Last NPPES UpdateJune 16, 2009
✔ NPI 1063575306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MN · 10351731CDT
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1121 JACKSON ST NE, Minneapolis, MN 55413
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Other Identifiers 1

Other744415000MN · Mhcp Or Ma

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RODERICK EUGENE COLEMAN LADC
Counselor (Addiction (Substance Use Disorder))
1121 JACKSON ST NE, 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 236-1712
ROXANA DELASMERCEDES MARQUEZ FIGUEROA
Doula
1121 JACKSON ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 353-6293
MS. KIMBERLEY MARIE EDENS LADC
Counselor (Addiction (Substance Use Disorder))
1121 JACKSON ST NE, SUITE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 236-1705
DEQO ABDIRAHMAN MOHAMED
Doula
1121 JACKSON ST NE, SUITE 100
MINNEAPOLIS, MN 55413
Hennepin County (612) 353-6293
MR. JONATHAN DOUGLAS POUNDER LADC
Counselor (Addiction (Substance Use Disorder))
1121 JACKSON ST NE, SUITE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 977-1818
HADIJATOU SANYANG
Doula
1121 JACKSON ST NE, SUITE 100
MINNEAPOLIS, MN 55413
Hennepin County (612) 353-6293
WINDY JOHNSON LSW
Social Worker
1121 JACKSON ST NE, SUITE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 236-1718
LIFELONG HEALTH FMAILY CHIROPRACTIC
Chiropractor
1121 JACKSON ST NE, 111
MINNEAPOLIS, MN 55413
Hennepin County (612) 354-2213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialized Treatment Services, Inc.'s NPI number?

The NPI number for Specialized Treatment Services, Inc. is 1063575306. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Specialized Treatment Services, Inc. located?

Specialized Treatment Services, Inc. is located at 1121 Jackson St NE Suite 105, Minneapolis, MN 55413. The listed phone number is (612) 236-1703.

What is Specialized Treatment Services, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Specialized Treatment Services, Inc. was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.