NPI Index

EDGE HEALTH CARE AND MENTAL HEALTH SERVICES

Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children

Active Organization
NPI: 1467201301

Practice Address

157 GRASS LAKE PL APT 309
Shoreview, MN 55126

Phone: (763) 498-4448

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X No -
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X No -
Community/Behavioral Health 251S00000X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X No -
Assisted Living Facility - Assisted Living, Mental Illness 3104A0625X No -
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children 3245S0500X Yes -

Frequently Asked Questions

NPI 1467201301 is the National Provider Identifier for EDGE HEALTH CARE AND MENTAL HEALTH SERVICES, a Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children provider located in Shoreview, MN. This NPI was enumerated on May 14, 2024.

Quick Facts

NPI
1467201301
Type
Organization
Enumerated
May 14, 2024
Last Updated
Oct 21, 2024

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