Organization · Type 2 NPI
Wild River Services
Substance Use Disorder Rehabilitation Clinic/Center · St. Paul, MN
NPI number
1285095778
Active
Practice location
1246 University Ave W Ste 101
St. Paul, MN 55104-4125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 1080800 (MN) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 1084328 (MN) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1285095778
Wild River Services's National Provider Identifier is 1285095778, issued on Mar 11, 2016. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in St. Paul, MN. The record was last updated on Jan 20, 2017.