| Odyssey - Dakota County Juvenile Service Center | |
|
1600 Highway 55 Hastings MN 55003 | |
| (651) 438-8219 | |
| (651) 438-8252 |
| Full Name | Odyssey - Dakota County Juvenile Service Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1600 Highway 55, Hastings, Minnesota |
| Authorized Official Name and Position | Paul Alan Lindeman (DIRECTOR - REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 6123267566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey - Dakota County Juvenile Service Center 550 Main Str #230 New Brighton MN 55112 Ph: (612) 326-7600 | Odyssey - Dakota County Juvenile Service Center 1600 Highway 55 Hastings MN 55003 Ph: (651) 438-8219 |
| NPI Number | 1619091659 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619091659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1023927 (Minnesota) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 10239271CDT (Minnesota) | Primary |
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