THEODORE I

Community Based Residential Treatment Facility, Mental Illness

Active Organization
NPI: 1831254408

Practice Address

1314 LIVINGSTON AVE
Saint Paul, MN 55118

Phone: (651) 501-2378

Specialties

Specialty Code Primary License
Community Based Residential Treatment Facility, Mental Illness 320800000X Yes 802493-1-RMI (MN)

Frequently Asked Questions

NPI 1831254408 is the National Provider Identifier for THEODORE I, a Community Based Residential Treatment Facility, Mental Illness provider located in Saint Paul, MN. This NPI was enumerated on December 26, 2006.

Quick Facts

NPI
1831254408
Type
Organization
Enumerated
Dec 26, 2006
Last Updated
Aug 22, 2020

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