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NEW SALEM METAMORPHOSIS ADOLESENT PROGRAM
NPI 1750636973
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since July 14, 2012
2507 BRYANT AVE N, MINNEAPOLIS, MN 55411(612) 250-8799 Get Directions Write a Review

NPPES record last updated: July 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About New Salem Metamorphosis Adolesent Program NPPES

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

NEW SALEM METAMORPHOSIS ADOLESENT PROGRAM (NPI 1750636973) is a healthcare organization registered as an addiction (substance use disorder) in Minneapolis, Minnesota and active in the NPI registry since July 2012. The organization lists Hortense Jones, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1750636973
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameNEW SALEM METAMORPHOSIS ADOLESENT PROGRAM
Location Address2507 BRYANT AVE NMinneapolis, MN 55411-2116
Mailing Address2507 Bryant Ave NMinneapolis, MN 55411-2116 · (612) 250-8799
Phone(612) 250-8799
Organization SubpartNo
Authorized OfficialHortense JonesProgram Administrator · (612) 250-8799
Enumeration DateJuly 14, 2012
✔ NPI 1750636973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 1061325-1-CDT
2507 BRYANT AVE N, Minneapolis, MN 55411
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

NEW SALEM MISSIONARY BAPTIST CHURCH
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
2507 BRYANT AVE N
MINNEAPOLIS, MN 55411
Hennepin County (612) 522-2951

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 New Salem Metamorphosis Adolesent Program's NPI number?

The NPI number for New Salem Metamorphosis Adolesent Program is 1750636973. It was assigned to this organization in the NPPES registry on July 14, 2012.

Where is New Salem Metamorphosis Adolesent Program located?

New Salem Metamorphosis Adolesent Program is located at 2507 Bryant Ave N, Minneapolis, MN 55411. The listed phone number is (612) 250-8799.

What is New Salem Metamorphosis Adolesent Program's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for New Salem Metamorphosis Adolesent Program was last updated on July 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.