Burnsville Center For Add And Addictions, L.l.c.

NPI 1093143042 - Clinic/Center - 261Q00000X

NPI Details
NPI 1093143042
Enumeration Date 10/29/2013
Last Updated 10/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SHANNON SHANNON
Position PRESIDENT
Phone (952) 224-8990
Fax
Practice Location
1601 SOUTHCROSS DR W
BURNSVILLE MN, 55306-7013, US
Phone (952) 224-8990
Fax
Business Location
14724 INNSBROOK LN
BURNSVILLE MN, 55306-6455, US
Phone (952) 898-1870
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Minnesota
License Number 2095
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According to our database, Burnsville Center For Add And Addictions, L.l.c. NPI is 1093143042, taxonomy code is 261Q00000X and license number is 2095, license state is located at Minnesota. Burnsville Center For Add And Addictions, L.l.c. physically located at 1601 Southcross Dr W, Burnsville MN, 55306-7013. NPI Number 1033115704 has the healthcare provider type.

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1093143042 NPI number is provided on an as is basis without warranty of any kind. 1093143042 is maintained by the National Plan & Provider Enumeration System. The contents of Burnsville Center For Add And Addictions, L.l.c. are for informational purposes only.