WEST SIDE SOBER LIVING
Residential Treatment Facilities at Lake Street Ext, Hopkins, MN

License number
Minnesota 1066522
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MR. MICHAEL CLIFTON HOLMES
Title: OWNER
Phone: (952) 513-7475
Address
Address
12218 Lake Street Ext, Hopkins, MN 55305
National Provider ID: 1366866907
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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