NPI 1184475378

Phoenix Renewal Treatment Services

Organisation Substance Abuse Rehabilitation Facility Minnetonka, MN

Practice location

Address: 12401 Minnetonka Blvd, Minnetonka, MN 55305-3971
Phone: (952) 513-7475
Fax: (952) 426-3266

Authorised official

Name: Cory Edward Somlai
Title: Director
Phone: (952) 529-8981

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Minnesota →

Registry record

NPI: 1184475378
Entity type: Organization
NPI issued: 27 Mar 2024
Record last updated: 21 Mar 2026

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.