Organization · Type 2 NPI
Professional Counseling Center
Substance Use Disorder Rehabilitation Clinic/Center · Minnetonka, MN
NPI number
1477821791
Active
Practice location
12450 Wayzata Blvd Ste 202
Minnetonka, MN 55305-1927
Fax (952) 548-9350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1477821791
Professional Counseling Center's National Provider Identifier is 1477821791, issued on Dec 1, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Minnetonka, MN. The record was last updated on Dec 1, 2011.