Psi Pride Institute Inc

NPI 1356342604 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1356342604
Enumeration Date 08/09/2005
Last Updated 05/04/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STEVE STEVE
Position SRVP CFO
Phone (952) 934-7554
Fax (952) 934-8764
Practice Location
14400 MARTIN DR
EDEN PRAIRIE MN, 55344-2031, US
Phone (952) 934-7554
Fax (952) 934-8764
Business Location
14400 MARTIN DR
EDEN PRAIRIE MN, 55344-2031, US
Phone (952) 934-7554
Fax (952) 934-8764
Toxanomy
Taxonomy Code 324500000X
License State Minnesota
License Number 1030116-1-CDT
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According to our database, Psi Pride Institute Inc NPI is 1356342604, taxonomy code is 324500000X and license number is 1030116-1-CDT, license state is located at Minnesota. Psi Pride Institute Inc physically located at 14400 Martin Dr, Eden Prairie MN, 55344-2031. NPI Number 1033115704 has the healthcare provider type.

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1356342604 NPI number is provided on an as is basis without warranty of any kind. 1356342604 is maintained by the National Plan & Provider Enumeration System. The contents of Psi Pride Institute Inc are for informational purposes only.