| Mission Detox Center | |
|
3409 E Medicine Lake Blvd Plymouth MN 55441-2307 | |
| (763) 559-1883 | |
| (763) 559-1195 |
| Full Name | Mission Detox Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3409 E Medicine Lake Blvd, Plymouth, Minnesota |
| Authorized Official Name and Position | Patricia J Murphy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7635591883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Detox Center 3409 E Medicine Lake Blvd Plymouth MN 55441-2307 Ph: (763) 559-1883 | Mission Detox Center 3409 E Medicine Lake Blvd Plymouth MN 55441-2307 Ph: (763) 559-1883 |
| NPI Number | 1801082847 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 09/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801082847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8015661-DS (Minnesota) | Primary |
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