Organization · Type 2 NPI
Nystrom Residential Treatment, LLC
Substance Abuse Rehabilitation Facility · Big Lake, MN
Practice location
19580 Station St
Big Lake, MN 55309-9411
Fax (763) 309-2022
Mailing address
1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2 other providers at this address
About NPI 1386229748
Nystrom Residential Treatment, LLC's National Provider Identifier is 1386229748, issued on Mar 16, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Big Lake, MN. The record was last updated on Apr 7, 2025.