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1349 Jersey Ave S St. Louis Park MN 55426 | |
(952) 542-9322 | |
(952) 542-0031 |
Full Name | |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 1349 Jersey Ave S, St. Louis Park, Minnesota |
Authorized Official Name and Position | Karina Forrest-perkins (CEO) |
Authorized Official Contact | 6512425542 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3705 Park Center Blvd St. Louis Park MN 55416 Ph: () - | 1349 Jersey Ave S St. Louis Park MN 55426 Ph: (952) 542-9322 |
NPI Number | 1649756040 |
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Provider Enumeration Date | 07/18/2018 |
Last Update Date | 07/18/2018 |
Identifier | Type | State | Issuer |
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1649756040 | NPI | - | NPPES |