Organization · Type 2 NPI
Edge Health Care and Mental Health Services
Children's Substance Abuse Rehabilitation Facility · Shoreview, MN
Practice location
157 Grass Lake Pl Apt 309
Shoreview, MN 55126-2063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | None listed |
| Gerontology Nurse Practitioner | 363LG0600X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
About NPI 1467201301
Edge Health Care and Mental Health Services's National Provider Identifier is 1467201301, issued on May 14, 2024. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Shoreview, MN. The record was last updated on Oct 21, 2024.