Organization · Type 2 NPI
Juel Fairbanks Chemical Dependency Services
Substance Abuse Rehabilitation Facility · St. Paul, MN
NPI number
1649440355
Active
Practice location
806 Albert St N
St. Paul, MN 55104-1303
Fax (651) 644-1126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 803854-3-CDT (MN) |
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.
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About NPI 1649440355
Juel Fairbanks Chemical Dependency Services's National Provider Identifier is 1649440355, issued on Mar 10, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in St. Paul, MN. The record was last updated on Mar 10, 2008.