Organization · Type 2 NPI

Wild River Services

Substance Abuse Rehabilitation Facility · St. Paul, MN

NPI number 1679988109 Active

Practice location

796 Capitol Hts
St. Paul, MN 55103-1852

Mailing address

1246 University Ave W, Suite 101
St. Paul, MN 55104-4125

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility 324500000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000X1084357 (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 1679988109

Wild River Services's National Provider Identifier is 1679988109, issued on Jun 23, 2014. 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 Jan 20, 2017.