| Sutton Outpatient Services, Llc | |
|
1700 Livingston Ave Ste 120 West St Paul MN 55118-5938 | |
| (651) 387-4629 | |
| Not Available |
| Full Name | Sutton Outpatient Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1700 Livingston Ave Ste 120, West St Paul, Minnesota |
| Authorized Official Name and Position | Robert Herbert Sutton (PRESIDENT/CEO) |
| Authorized Official Contact | 6513874629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutton Outpatient Services, Llc 532 Rolling Hills Pl Eagan MN 55121-2352 Ph: (651) 387-4629 | Sutton Outpatient Services, Llc 1700 Livingston Ave Ste 120 West St Paul MN 55118-5938 Ph: (651) 387-4629 |
| NPI Number | 1952908881 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952908881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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