| Crossroads Aftercare Program | |
|
7250 Metro Blvd Ste 100 Edina MN 55439-2145 | |
| (612) 200-9870 | |
| Not Available |
| Full Name | Crossroads Aftercare Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7250 Metro Blvd Ste 100, Edina, Minnesota |
| Authorized Official Name and Position | John Rundquist (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6123740506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Aftercare Program 7250 Metro Blvd Ste 100 Edina MN 55439-2145 Ph: (612) 200-9870 | Crossroads Aftercare Program 7250 Metro Blvd Ste 100 Edina MN 55439-2145 Ph: (612) 200-9870 |
| NPI Number | 1396322293 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396322293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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