Organization · Type 2 NPI

Theresas Home LLC

Mental Illness Community Based Residential Treatment Facility · South St. Paul, MN

NPI number 1457022501 Active

Practice location

224 2nd Ave S
South St. Paul, MN 55075-2346

Mailing address

9985 Austin St NE
Circle Pines, MN 55014-2412

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1457022501

Theresas Home LLC's National Provider Identifier is 1457022501, issued on Sep 27, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in South St. Paul, MN. The record was last updated on Sep 27, 2021.