NPI 1063590214

Rs Eden

Organisation Substance Abuse Rehabilitation Facility Minneapolis, MN

Practice location

Address: 1025 Portland Ave, Minneapolis, MN 55404-1449
Phone: (612) 338-0723
Fax: (612) 338-3653
Mailing address: 1931 W Broadway Ave Suite 101, Minneapolis, MN 55411-2400

Authorised official

Name: Jessie Johnson
Title: Co-President and Ceo
Phone: (612) 287-1619

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 10033342CDT (MN)

Other Substance Abuse Rehabilitation Facility providers in Minnesota →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Minnesota →

Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1063590214
Entity type: Organization
NPI issued: 2 Nov 2006
Record last updated: 18 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.