Provider First Line Business Practice Location Address:
914 SO 8TH ST S131
Provider Second Line Business Practice Location Address:
HFA ADDICTION MEDICINE CLINIC
Provider Business Practice Location Address City Name:
MPLS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-347-7600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2009